Provider Type Icon

GARY R KEILSON MD NPI 1508857707


NPI Information

NPI: 1508857707
Provider Name: GARY R KEILSON, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
123 SUMMER ST
SUITE 230 S
WORCESTER, MA
ZIP 01608
Phone: (508) 368-3150
Get Directions

Gary R Keilson, MD is a neurology psychiatry neurology in Worcester, MA with 37 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Gary R Keilson, MD NPI is 1508857707. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduation Year:1987

The provider's business location address is:

123 SUMMER ST
SUITE 230 S
WORCESTER, MA
ZIP 01608-312
Phone: (508) 368-3150
Fax: (508) 368-3152

The NPI 1508857707 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Needle measurement and recording of electrical activity of muscles of arm or leg complete study (HCPCS:95886)
  • Nerve transmission studies, 7-8 studies (HCPCS:95910)

The enumeration date for this NPI number is 11/4/2005 and was last updated on 5/2/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology74084MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1042472266OTHERPRIVATE HEALTHCARE SYSTEM
2J14372OTHERBLUE INDEMNITY
3784035OTHERMVP HEALTH CARE
4042472266OTHERHEALTHCARE VALUE MANAGEME
5J14372OTHERMEDICARE B
6917831OTHERFIRST HEALTH
79900842OTHERFALLON COMMUNITY HEALTH P
8J14372OTHERBLUE SHIELD HMO BLUE
9F72097MEDICARE UPIN
100500193OTHEREVERCARE
113118649OTHERMEDICAID WELFARE
125845001OTHERAETNA US HEALTHCARE
13AA3016OTHERHARVARD PILGRIM HEALTHCAR
14042472266OTHERONE HEALTH PLAN
1529203OTHERHEALTHY START
16J14372MEDICARE ID-TYPE UNSPECIFIED
171700170OTHERCIGNA PAL ID
18J14372OTHERBLUE CARE ELECT
19130015211OTHERRAILROAD MEDICARE
2029203OTHERCHILDRENS MEDICAL SECURIT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.