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DR. MARK T KEIDEL M.D., MPH
NPI 1134154263
Family Medicine in Patton, CA

Active since July 11, 2006PECOS Enrolled
3102 E HIGHLAND AVE # ADMIN150, PATTON, CA 92369(909) 425-7000(909) 425-6169 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mark T Keidel M.d., Mph NPPES

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

DR. MARK T KEIDEL M.D., MPH (NPI 1134154263) is an individual family medicine provider in Patton, California, licensed in California (A76937) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134154263
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK T KEIDELCredential: M.D., MPH
Location Address3102 E HIGHLAND AVE # ADMIN150Patton, CA 92369-7813
Mailing Address3102 E Highland Ave # Admin150Patton, CA 92369-7813 · (909) 254-8279
Phone(909) 425-7000
Fax(909) 425-6169
Sole ProprietorNo
Enumeration DateJuly 11, 2006
Last NPPES UpdateJanuary 19, 2024
NPPES CertifiedJanuary 19, 2024
✔ NPI 1134154263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A76937
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3102 E HIGHLAND AVE # ADMIN150, Patton, CA 92369
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Other Identifiers 1

Medicaid00A769370CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark T Keidel M.d., Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92369 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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 Mark Keidel's NPI number?

The NPI number for Mark Keidel is 1134154263. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Mark Keidel located?

Mark Keidel practices at 3102 E Highland Ave # Admin150, Patton, CA 92369. The listed phone number is (909) 425-7000.

What is Mark Keidel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Keidel enrolled in Medicare?

Yes. Mark Keidel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Keidel was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.