Jason Shammuel Keri, MD

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

A82017 Issued in CA

Practice address

2810 Camino del Rio S
Ste 102
San Diego, CA 92108-3818

Phone

(619) 299-4374

Fax

(866) 611-4220

NPI assigned

Jul 17, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

PsychiatryAlso: Geriatric Psychiatry

Education

Northeastern Ohio University College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mental Health Systems IncGroup PAC ID 8628019320, 37 clinicians

Senior Medical Associates IncGroup PAC ID 0446339469, 13 clinicians

Del Sur HealthcareGroup PAC ID 1850827395, 61 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Palomar Health Downtown Campus Hospital, Escondido, CA, CCN 050115

Merit-based Incentive Payment System (MIPS)

Final score

26.83 of 100Reported as individual

Quality

3.33

Promoting interoperability

0

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Senior Medical Associates, Inc.

  • Geriatric Medicine (Internal Medicine) Physician
  • San Diego, CA
  • NPI 1629253505

  Geriatric Psychiatry

  Medicare reassignment Care Compare group NPD Authorized official
• Del Sur Healthcare

  • Geriatric Medicine (Internal Medicine) Physician
  • El Cajon, CA
  • NPI 1891515953
  Medicare reassignment Care Compare group NPD
• Mental Health Systems, Inc.

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1760431670
  Medicare reassignment Care Compare group NPD
• Community Research Foundation Inc

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1952328700
  Medicare reassignment NPD
• Mental Health Systems, Inc.

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1275661134
  NPD
• Mental Health Systems, Inc.

  • Adult Mental Health Clinic/Center
  • Oceanside, CA
  • NPI 1598847055
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Palomar Health

  • General Acute Care Hospital
  • Escondido, CA
  • NPI 1457321317
  Care Compare affiliation

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1811915812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 CAMINO DEL RIO S",
            "address_2": "STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083818",
            "telephone_number": "619-299-4374",
            "fax_number": "866-611-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 CAMINO DEL RIO S",
            "address_2": "STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083818",
            "telephone_number": "619-299-4374",
            "fax_number": "866-611-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERI",
        "first_name": "JASON",
        "middle_name": "SHAMMUEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CA",
            "license": "A82017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A920170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Kercher, MOT, MPH
• Alexandra Marie Keresztesy, DO
• Keri KM Dental Group, a Professional Group
• Keri Sebourn Individual and Family Therapy Inc
• Keri Silva DDS, Inc.
• Shira Amitai Keri, MD
• Arda Kerleshi, PHARM.D
• Raphael Moshe Kermani
• Zohreh Kermani, PSY.D
• Bridget Suzanne Kermorris

• Geriatric Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Geriatric Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.