KEON M VASUDEVAN MD
NPI 1265793897
Pediatrics in Brandywine, MD
About Keon M Vasudevan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEON M VASUDEVAN MD (NPI 1265793897) is an individual pediatrics provider in Brandywine, Maryland, licensed in Maryland (D79802) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keon M Vasudevan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Keon Vasudevan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brandywine, MD 20613
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 57 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRANDYWINE, MD 20613
BRANDYWINE, MD 20613
BRANDYWINE, MD 20613
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 Keon Vasudevan's NPI number?
The NPI number for Keon Vasudevan is 1265793897. It was assigned to this individual provider in the NPPES registry on May 30, 2012.
Where is Keon Vasudevan located?
Keon Vasudevan practices at 7450 Albert Rd 1st Floor, Brandywine, MD 20613. The listed phone number is (301) 888-2233.
What is Keon Vasudevan's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Keon Vasudevan enrolled in Medicare?
Yes. Keon Vasudevan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Keon Vasudevan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keon Vasudevan reassigns Medicare benefits to Greater Baden Medical Service Incorporated (Brandywine, MD). The 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 Keon Vasudevan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Keon Vasudevan was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Keon M Vasudevan, MD · NPI 1265793897
Pediatrics physician in Brandywine, Maryland. Individual provider, active in the CMS NPPES registry since May 30, 2012.
## Identity
- **NPI:** 1265793897 (Entity type: Individual)
- **Enumerated:** May 30, 2012
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** D79802 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 7450 ALBERT RD, 1ST FLOOR, Brandywine, MD 20613-3035
- **Phone:** (301) 888-2233
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Greater Baden Medical Service Incorporated (NPI 1912927344, Brandywine, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 16, 2023
- **Other identifiers:** Medicaid 550018400 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1265793897) · Data from the CMS NPPES public registry.