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DR. GOTTFRIED RAFFAEL VON KEUDELL MD, PHD
NPI 1235368168
Internal Medicine - Hematology & Oncology in Boston, MA

Active since July 13, 2009PECOS EnrolledAccepts Medicare Assignment
330 BROOKLINE AVE BLDG KS122, BOSTON, MA 02215(617) 667-9932 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 26, 2025, Sep 27, 2022 (2 updates tracked since 2022).

About Dr. Gottfried Raffael Von Keudell Md, Phd NPPES

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

DR. GOTTFRIED RAFFAEL VON KEUDELL MD, PHD (NPI 1235368168) is an individual hematology & oncology provider in Boston, Massachusetts, licensed in Massachusetts (294703) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Mount Auburn Hospital, and maintains a secondary practice location in Cambridge.

NPPES Registry Identity

NPI1235368168
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. GOTTFRIED RAFFAEL VON KEUDELLCredential: MD, PHD
Location Address330 BROOKLINE AVE BLDG KS122Boston, MA 02215-5491
Mailing Address330 Brookline Ave Bldg Ks122Boston, MA 02215-5491
Phone(617) 667-9932
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 13, 2009
Last NPPES UpdateFebruary 26, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
✔ NPI 1235368168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in MA · 294703
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 294703 (MA)
330 BROOKLINE AVE BLDG KS122, Boston, MA 02215
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Secondary Practice Location 1

Location 1330 Mount Auburn St # 3Cambridge, MA 02138-5502 · Phone (617) 497-9646

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gottfried Raffael Von Keudell Md, Phd 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 ID5597066183
PECOS Enrollment IDI20220909002293
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Gottfried Von Keudell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc
Same address
Internal Medicine
330 BROOKLINE AVE
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,579 clinicians in this Medicare group
NPI 1194765438 (617) 754-9600
Cambridge Public Health Commission
2.4 mi
General Acute Care Hospital
1493 CAMBRIDGE ST
Cambridge, MA 02139
  • Reassigned Medicare billing, Massachusetts enrollment
  • 719 clinicians in this Medicare group
NPI 1487603585 (617) 665-1000
Mount Auburn Professional Services Inc
2.8 mi
Internal Medicine
330 MOUNT AUBURN ST
Cambridge, MA 02138
  • Reassigned Medicare billing, Massachusetts enrollment
  • 423 clinicians in this Medicare group
NPI 1992750996 (617) 499-5654

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
296 services76 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.
137 services85 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
96 services45 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
24 services20 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 patients
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.
16 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Mount Auburn Hospital

Acute Care Hospitals · Cambridge, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220002
Location330 Mount Auburn StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Beth Israel Deaconess Hospital - Needham

Acute Care Hospitals · Needham, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220083
Location148 Chestnut StreetNeedham, MA 02494 · Norfolk County
Emergency services

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02215 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
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 Gottfried Von Keudell's NPI number?

The NPI number for Gottfried Von Keudell is 1235368168. It was assigned to this individual provider in the NPPES registry on July 13, 2009.

Where is Gottfried Von Keudell located?

Gottfried Von Keudell practices at 330 Brookline Ave Bldg Ks122, Boston, MA 02215. The listed phone number is (617) 667-9932.

What is Gottfried Von Keudell's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Gottfried Von Keudell enrolled in Medicare?

Yes. Gottfried Von Keudell 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.

Which organizations bill Medicare for Gottfried Von Keudell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gottfried Von Keudell reassigns Medicare benefits to 3 organizations: Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (Boston, MA), Cambridge Public Health Commission (Cambridge, MA) and Mount Auburn Professional Services Inc (Cambridge, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gottfried Von Keudell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gottfried Von Keudell accept?

Health plans from Anthem Blue Cross and Blue Shield list Gottfried Von Keudell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gottfried Von Keudell affiliated with any hospitals?

According to CMS data, Gottfried Von Keudell is affiliated with Mount Auburn Hospital, Beth Israel Deaconess Hospital - Needham, Beth Israel Deaconess Medical Center and Winchester Hospital.

When was this NPI record last updated?

The NPPES record for Gottfried Von Keudell was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.