DR. KEITH JOSEPH DAHL D.O.
NPI 1043479033
Internal Medicine - Gastroenterology in Staten Island, NY

Active since June 04, 2008PECOS EnrolledAccepts Medicare Assignment
1050 CLOVE RD, STATEN ISLAND, NY 10301(718) 816-6440(718) 816-3656 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 15, 2025, Sep 21, 2021, Sep 11, 2019 and 1 more (4 updates tracked since 2017).

About Dr. Keith Joseph Dahl D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEITH JOSEPH DAHL D.O. (NPI 1043479033) is an individual gastroenterology provider in Staten Island, New York, licensed in New York (248916) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and maintains a secondary practice location in Staten Island.

NPPES Registry Identity

NPI1043479033
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. KEITH JOSEPH DAHLCredential: D.O.
Location Address1050 CLOVE RDStaten Island, NY 10301-3627
Mailing Address55 Water St Fl 2New York, NY 10041-0010 · (646) 680-2888 · Fax (516) 542-5556
Fax(718) 816-3656
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 4, 2008
Last NPPES UpdateSeptember 15, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
NPI 1043479033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NY · 248916
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 248916 (NY)
1050 CLOVE RD, Staten Island, NY 10301

Secondary Practice Location 1

Location 14771 Hylan BlvdStaten Island, NY 10312-6315 · Phone (718) 948-8200 · Fax (718) 420-2718

Other Identifiers 1

Medicaid03347000NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Keith Joseph Dahl D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537347067
PECOS Enrollment IDI20110701000093
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
102 services88 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
47 services47 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
41 services36 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
31 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330160
Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
1050 CLOVE RD
STATEN ISLAND, NY 10301
Nurse Practitioner (Family)
1050 CLOVE RD
STATEN ISLAND, NY 10301
Internal Medicine
1050 CLOVE RD
STATEN ISLAND, NY 10301
Surgery
1050 CLOVE RD
STATEN ISLAND, NY 10301
Internal Medicine
1050 CLOVE RD, UCC
STATEN ISLAND, NY 10301
Pediatrics
1050 CLOVE RD
STATEN ISLAND, NY 10301
Obstetrics & Gynecology
1050 CLOVE RD
STATEN ISLAND, NY 10301
Internal Medicine
1050 CLOVE RD
STATEN ISLAND, NY 10301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Dahl's NPI number?

The NPI number for Keith Dahl is 1043479033. It was assigned to this individual provider in the NPPES registry on June 4, 2008.

Where is Keith Dahl located?

Keith Dahl practices at 1050 Clove Rd, Staten Island, NY 10301. The listed phone number is (718) 816-6440.

What is Keith Dahl's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Keith Dahl enrolled in Medicare?

Yes. Keith Dahl is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Keith Dahl affiliated with any hospitals?

According to CMS data, Keith Dahl is affiliated with Staten Island University Hospital.

When was this NPI record last updated?

The NPPES record for Keith Dahl was last updated on September 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.