Individual provider Active NPI

Stephen A Kei, M.D.

  • Internal Medicine Physician
  • Plainville, CT
National Provider Identifier
1760509293
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
027429 Issued in CT
Practice address
240 East St
Plainville, CT 06062-2935
Phone
(860) 747-4541
Fax
(860) 793-1218
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 027429 CT
Internal Medicine Physician 207R00000X 027429 CT Primary

Addresses

Primary practice location

240 East St
Plainville, CT 06062-2935

Mailing address

240 East St
Plainville, CT 06062-2935
Phone (860) 747-4541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100824000929 CT Practitioner - Internal Medicine 1355465626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
027429CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hagedorn Assoc PC PastSince Mar 25, 2010 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1760509293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 EAST ST",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060622935",
            "telephone_number": "860-747-4541",
            "fax_number": "860-793-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 EAST ST",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060622935",
            "telephone_number": "860-747-4541",
            "fax_number": "860-793-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEI",
        "first_name": "STEPHEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CT",
            "license": "027429",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "027429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainville, CT

Sources for this page

Verify at the official NPI Registry.