NPIMap

Individual provider Active NPI

Roger Keshav, M.D.

  • Nephrology Physician
  • Belleville, NJ
National Provider Identifier
1942525316
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA09265200 Issued in NJ
Practice address
140 Belmont Ave
Belleville, NJ 07109-1018
Phone
(973) 751-7870
Fax
(973) 751-7875
NPI assigned
Mar 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MA09265200 NJ Primary

Addresses

Primary practice location

140 Belmont Ave
Belleville, NJ 07109-1018

Mailing address

140 Belmont Ave
Belleville, NJ 07109-1018
Phone (973) 751-7870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151012001156 NJ Practitioner - NephrologyPractitioner - Internal Medicine 7810206935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

140 Belmont Ave
Suite 102
Belleville, NJ 07109-2392
Phone (973) 751-7870

Hospital & facility affiliations

  • Vistacare Dialysis Center Dialysis facility, Newark, NJ, CCN 312711
  • DaVita Lyndhurst Dialysis Dialysis facility, Lyndhurst, NJ, CCN 312670
  • FMC Harrison Dialysis facility, Harrison, NJ, CCN 312564
  • FMC Bloomfield Dialysis facility, Bloomfield, NJ, CCN 312546
  • Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009
  • Saint Michael'S Medical Center Hospital, Newark, NJ, CCN 310096
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • Silver Lake Hospital Ltach Long-term care hospital, Newark, NJ, CCN 312024

Merit-based Incentive Payment System (MIPS)

Final score
55.69 of 100Reported as individual
Quality
40
Improvement activities
0
Cost
98.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09265200NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keshav M Shiva MD PA CurrentSince Aug 22, 2015 Accepting new patients
Roger Keshav MD PA Nephrology CurrentSince Aug 1, 2015 Accepting new patients

Locations

140 Belmont Ave
Ste 102
Belleville, NJ 07109
Phone (973) 751-7870

140 Belmont Ave
Belleville, NJ 07109
Phone (973) 751-7870

Interoperability endpoints

  • Direct secure messaging: rkeshav191497@ahs.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 9

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": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442188800000",
    "number": "1942525316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BELMONT AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091018",
            "telephone_number": "973-751-7870",
            "fax_number": "973-751-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BELMONT AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091018",
            "telephone_number": "973-751-7870",
            "fax_number": "973-751-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESHAV",
        "first_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-29",
        "last_updated": "2015-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA09265200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

Verify at the official NPI Registry.