Keili Ann Mistovich, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

2054 South Green Rd.
Senders Pediatrics
South Euclid, OH 44121

Phone

(216) 291-9210

Fax

(216) 291-9422

NPI assigned

Apr 5, 2012

Last updated

Oct 13, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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 OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmistovich247724@ehrdirect.uhhospitals.org

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.

• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414
  Medicare reassignment NPD
• Greater Cleveland Pediatrics

  • Pediatrics Physician
  • Beachwood, OH
  • NPI 1184237968
  NPD Authorized official
• Zest Pediatric Network

  • Pediatrics Physician
  • Solon, OH
  • NPI 1164131454
  NPD
• Dr. Shelly David Senders, MD, Inc

  dba Senders Pediatrics

  • Pediatrics Physician
  • South Euclid, OH
  • NPI 1033381462
  NPD (past)

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1760748651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 SOUTH GREEN RD.",
            "address_2": "SENDERS PEDIATRICS",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "44121",
            "telephone_number": "216-291-9210",
            "fax_number": "216-291-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 SOUTH GREEN RD.",
            "address_2": "SENDERS PEDIATRICS",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "44121",
            "telephone_number": "216-291-9210",
            "fax_number": "216-291-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTOVICH",
        "first_name": "KEILI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-05",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Joi Middleton, LPCC LCDC III
• Brande Elise Miller
• David Adam Miller
• Nicole Milliron, FNP
• Deja Minor
• Falisha Mitchell
• Steven Mitchell, R.PH.
• Mitchell's Quality Home Care
• Angelique Molina, LPN
• Vicki Moore Holzhauer, LISW-S

• Student in an Organized Health Care Education/Training Program in South Euclid, OH
• Providers in South Euclid, OH by specialty
• Student in an Organized Health Care Education/Training Program in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.