Active NPI
Keisha Kadesha Bryant, MD
- Internal Medicine Physician
- Saint Albans, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 289760
- Practice address
- 20515 Hollis Ave Dept of
Saint Albans, NY 11412-1417 - Phone
- (718) 217-3744
- NPI assigned
- Apr 7, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 289760 | NY | Primary |
Addresses
Primary practice location
20515 Hollis Ave Dept of
Saint Albans, NY 11412-1417
Mailing address
20515 Hollis Ave
Saint Albans, NY 11412-1417
Phone (347) 833-9806
Other names 1
- Keisha K Kelly
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170922002217 | NY | Practitioner - Internal Medicine | 5092089441 | Reassigns benefits to 7 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Columbia Memorial Hospital
Practice addresses (Care Compare)
20515 Hollis Ave
Saint Albans, NY 11412-1417
Phone (718) 217-3744
71 Prospect Ave
Hudson, NY 12534-2927
Phone (518) 828-7601
Hospital & facility affiliations
- Columbia Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 289760 | NY | MD | Licensed Practical Nurse |
Practice roles (12 of 16)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Memorial Hospital | Current | Accepting new patients | |
| 24 On Physicians, PC | Current | Accepting new patients | |
| House Call Medical Services of New York, PLLC | Internal Medicine | Current | Accepting new patients |
| Cindy Marika D.O. PA | Current | Accepting new patients | |
| Columbia Memorial Hospital | Current | Accepting new patients | |
| Columbia Memorial Hospital | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Cogent Medical Care PC | Internal Medicine | Current | Accepting new patients |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Essen Medical Urgicare, PLLC | Current | Accepting new patients | |
| 24 On Physicians, P.C. | Current | Accepting new patients | |
| Columbia Memorial Hospital | Past | Accepting new patients |
Locations
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200
1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207
8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400
71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773
70 Dubois St
Fl 2
Newburgh, NY 12550
Phone (845) 561-4400
101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100
2827 US Highway 9
Valatie, NY 12184
Phone (518) 828-7601
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- kbryant97311@albanymed.direct-ci.com
Organizations & group practices 15
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.
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- NPI 1851345946
Internal Medicine, NY
-
- Rural Health Clinic/Center
- Valatie, NY
- NPI 1275403990
-
- General Acute Care Hospital
- Hudson, NY
- NPI 1528024718
-
- Rural Health Clinic/Center
- Copake, NY
- NPI 1154217776
-
- Rural Health Clinic/Center
- Chatham, NY
- NPI 1508751132
-
- Multi-Specialty Clinic/Center
- Cairo, NY
- NPI 1518220839
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741910400000",
"number": "1760801740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20515 HOLLIS AVE",
"city": "SAINT ALBANS",
"state": "NY",
"postal_code": "114121417",
"telephone_number": "347-833-9806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20515 HOLLIS AVE DEPT OF",
"city": "SAINT ALBANS",
"state": "NY",
"postal_code": "114121417",
"telephone_number": "718-217-3744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "KEISHA",
"middle_name": "KADESHA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-07",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "289760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KEISHA",
"last_name": "KELLY",
"middle_name": "K",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Albans, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.