Byung Soo Keum, MSN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

470433097 Issued in MI

Practice address

481 Kirts Blvd Apt 70
Troy, MI 48084-5267

Phone

(248) 686-4586

NPI assigned

Aug 1, 2023

Sex

Male

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 MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MI

  Medicare reassignment NPD

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1790467660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 KIRTS BLVD APT 70",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845267",
            "telephone_number": "248-686-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 KIRTS BLVD APT 70",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845267",
            "telephone_number": "248-686-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEUM",
        "first_name": "BYUNG",
        "middle_name": "SOO",
        "name_prefix": "Mr.",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "470433097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xheni Kesson, PA
• John Keta, PA-C
• Samantha Ketchum
• Morgan Jean Ketelaar, PA-C
• Anna Ketzler, M.A., C.C.C.-SLP
• Chirag Kevadia
• Kevin N. Schierlinger, D.D.S., P.C.
• Key Steps ABA Therapy, LLC
• Marianne Key-Carniak
• Khalid Rao MD PC

• Family Nurse Practitioner in Troy, MI
• Providers in Troy, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.