Active NPI
Martin David Keltz, M.D.
- Reproductive Endocrinology Physician
- Purchase, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 185223-1
- Practice address
- 3030 Westchester Ave
Purchase, NY 10577 - Phone
- (914) 848-8800
- Fax
- (914) 848-8800
- NPI assigned
- Jul 29, 2005
- Last updated
- Dec 17, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | 185223-1 | NY | Primary |
Addresses
Primary practice location
3030 Westchester Ave
Purchase, NY 10577
Mailing address
3030 Westchester Ave
Purchase, NY 10577
Phone (914) 848-8800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01571333 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- New York University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3030 Westchester Ave
Purchase, NY 10577-2574
Phone (914) 831-4100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 185223-1 | NY | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| The Westchester Medical Group PC | Current | Accepting new patients | |
| Westchester Medical Group, P.C. | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients | |
| St Lukes Roosevelt Community Care | Past | Accepting new patients |
Locations
5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330
19 Bradhurst Ave
Ste 2700S
Hawthorne, NY 10532
Phone (914) 493-2250
19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373
3030 Westchester Ave
Purchase, NY 10577
Phone (914) 682-6435
100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- martin.keltz.1@21260.direct.athenahealth.com
- mkeltz@hiemail.healtheconnections.org
- mkeltz185935@direct.ynhh.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba WESTMED Medical Group
- Critical Care Medicine (Internal Medicine) Physician
- Rye Brook, NY
- NPI 1881653822
CT
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
dba Westmed Medical Group
- Durable Medical Equipment & Medical Supplies
- Greenwich, CT
- NPI 1790560878
-
- Internal Medicine Physician
- New York, NY
- NPI 1740469246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418774400000",
"number": "1750381877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 WESTCHESTER AVE",
"city": "PURCHASE",
"state": "NY",
"postal_code": "10577",
"telephone_number": "914-848-8800",
"fax_number": "914-848-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 WESTCHESTER AVE",
"city": "PURCHASE",
"state": "NY",
"postal_code": "10577",
"telephone_number": "914-848-8800",
"fax_number": "914-848-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELTZ",
"first_name": "MARTIN",
"middle_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2014-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "NY",
"license": "185223-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01571333",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Purchase, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.