Michelle Josefina Keung

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA62891 Issued in CA

Practice address

23 Upper Ragsdale Dr Ste 200
Monterey, CA 93940-7849

Phone

(831) 375-3577

NPI assigned

Jun 15, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gastroenterology Consultants of Augusta, PCGroup PAC ID 4486643434, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028
• Burke Medical Center Hospital, Waynesboro, GA, CCN 110113

Merit-based Incentive Payment System (MIPS)

Final score

86.92 of 100Reported as group

Quality

75.78

Promoting interoperability

98

Improvement activities

40

Cost

76.64

Merit-based Incentive Payment System (MIPS)

Final score

85.47 of 100Reported as group

Quality

67.19

Promoting interoperability

100

Improvement activities

40

Cost

67.71

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michelle.keung.1@15547.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gastroenterology Consultants of Augusta, PC

  • Gastroenterology Physician
  • Evans, GA
  • NPI 1508089137

  GA

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Burke Hospital Company

  • General Acute Care Hospital
  • Waynesboro, GA
  • NPI 1730761065

  Hospital

  Care Compare affiliation
• University Health Services,Inc

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1588665566

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1730864992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 UPPER RAGSDALE DR STE 200",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407849",
            "telephone_number": "831-375-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 UPPER RAGSDALE DR STE 200",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407849",
            "telephone_number": "831-375-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEUNG",
        "first_name": "MICHELLE",
        "middle_name": "JOSEFINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA62891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kentoshi, Inc.
• Larry Kerkhoff
• Jeanette M Kern, DDS
• Danielle Kerr, PHARMD, BCPS
• Robert T. Keszler, M.D.
• Kevin G. Landon, DDS, Inc.
• Kevin G. Landon, DDS, Inc.
• Souriya Keye
• Khan Medical Associate
• Tanvir Singh Khera, M.D.

• All providers in Monterey, CA
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.