Keith P. Radbill, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB07528500 Issued in NJ

Practice address

602 W. Maple Ave.
Merchantville, NJ 08109

Phone

(856) 375-1500

Fax

(609) 482-8024

NPI assigned

Dec 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, PA, MD, VA4 enrollments

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 4

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Outreach Recovery II, LLCGroup PAC ID 5294166302, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.69 of 100Reported as group

Quality

69.54

Promoting interoperability

95

Improvement activities

40

Cost

75.44

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

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.

• Outreach Recovery II, LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Laurel, MD
  • NPI 1427541838

  PA, VA

  Medicare reassignment Care Compare group NPD
• Advanced Spine and Pain LLC

  • Interventional Pain Medicine Physician
  • Hammonton, NJ
  • NPI 1730359084
  Medicare reassignment NPD
• Advanced Spine and Pain, LLC

  • Pain Medicine Physician
  • Phoenixville, PA
  • NPI 1740996586
  NPD
• Outreach Recovery II, LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Hagerstown, MD
  • NPI 1760090294
  NPD
• Advanced Spine and Pain, LLC

  • Pain Medicine Physician
  • Egg Harbor Township, NJ
  • NPI 1447885116

  General Practice

  NPD (past)
• Center for Pain Management LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Cherry Hill, NJ
  • NPI 1821431305
  NPD (past)
• Acute Care Specialists, Inc.

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1447294640
  NPD (past)
• Upmc Community Medcine Inc

  • Family Medicine Physician
  • Hermitage, PA
  • NPI 1023806676
  NPD (past)
• Upmc Community Medicine Inc

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1083741789
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684627200000",
    "number": "1861557795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 ROUTE 73 N STE H",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531277",
            "telephone_number": "732-659-1159",
            "fax_number": "609-482-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W. MAPLE AVE.",
            "city": "MERCHANTVILLE",
            "state": "NJ",
            "postal_code": "08109",
            "telephone_number": "856-375-1500",
            "fax_number": "609-482-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADBILL",
        "first_name": "KEITH",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2023-05-21",
        "certification_date": "2023-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MB07528500",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB07528500",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MB07528500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pierre M Pierre Louis, D.O
• Joshua Pincus
• Elaine M. Prendergast, L.C.S.W.
• Progressive Living Units Systems, Inc
• Carol Zehler Pulley
• Recovery Unplugged Behavioral Health New Jersey, LLC
• Reliable Resources LLC
• Rite Aid of New Jersey Inc
• David Romisher, DMD
• RXD Pharmacy of NJ Inc

• Family Medicine Physician in Merchantville, NJ
• Providers in Merchantville, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.
• 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.