NPIMap

Individual provider Active NPI

Keyteshia Guy, M.D.

  • Internal Medicine Physician
  • Clinton, MD
National Provider Identifier
1992964316
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0069138 Issued in MD
Practice address
10403 Hospital Dr Ste 103
Clinton, MD 20735-3149
Phone
(301) 856-8990
Fax
(301) 856-8994
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0069138 MD Primary

Addresses

Primary practice location

10403 Hospital Dr Ste 103
Clinton, MD 20735-3149

Mailing address

10403 Hospital Dr Ste G4
Clinton, MD 20735-3137
Phone (301) 856-3019

Other identifiers 2

IdentifierTypeStateIssuer
1801837786OtherMDGROUP NPI - CLINTON FAMILY MEDICAL CENTER
1851473722OtherMDGROUP NPI - MEDICAL AND SURGICAL CLINICS OF SOUTHERN MARYLAND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20200527000509 NY Practitioner - Internal Medicine 0042365272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Howard University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Practice addresses (Care Compare)

317 E 34TH St
New York, NY 10016-4974
Phone (212) 726-7400

Hospital & facility affiliations

  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0069138MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Jun 8, 2020 Accepting new patients
Optum Medical Care, P.C. CurrentSince Jun 8, 2020 Accepting new patients
Medical & Surgical Clinics of Southern Maryland Inc Internal Medicine Past Accepting new patients
Mount Kisco Medical Group Past Accepting new patients

Locations

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

317 E 34th St
New York, NY 10016
Phone (212) 263-9741

Philadelphia, PA 19195

Interoperability endpoints

  • Direct secure messaging: kguy471094@nyumc.direct-ci.com

Organizations & group practices 4

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 8

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": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1992964316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10403 HOSPITAL DR STE G4",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353137",
            "telephone_number": "301-856-3019",
            "fax_number": "301-856-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10403 HOSPITAL DR STE 103",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353149",
            "telephone_number": "301-856-8990",
            "fax_number": "301-856-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUY",
        "first_name": "KEYTESHIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0069138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI - CLINTON FAMILY MEDICAL CENTER",
            "identifier": "1801837786",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI - MEDICAL AND SURGICAL CLINICS OF SOUTHERN MARYLAND",
            "identifier": "1851473722",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.