DR. GRACE LEE KER M.D.
NPI 1295025310
Pediatrics - Pediatric Critical Care Medicine in Stony Brook, NY
About Dr. Grace Lee Ker M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GRACE LEE KER M.D. (NPI 1295025310) is an individual pediatric critical care medicine provider in Stony Brook, New York, licensed in New York (280790) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Springfield, and is a graduate of Wayne State University School Of Medicine (2015).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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. Grace Lee Ker M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Grace Ker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stony Brook, NY 11794
- Reassigned Medicare billing, New York enrollment
- 191 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STONY BROOK, NY 11794
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 Grace Ker's NPI number?
The NPI number for Grace Ker is 1295025310. It was assigned to this individual provider in the NPPES registry on April 11, 2011.
Where is Grace Ker located?
Grace Ker practices at 101 Nicolls Rd # Level11n, Stony Brook, NY 11794. The listed phone number is (631) 444-0650.
What is Grace Ker's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.
Is Grace Ker enrolled in Medicare?
Yes. Grace Ker 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 organization bills Medicare for Grace Ker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grace Ker reassigns Medicare benefits to Stony Brook Children's Service, University Faculty Practice Corporatio (Stony Brook, NY). 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 Grace Ker'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 Grace Ker was last updated on November 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Grace Lee Ker, M.D. · NPI 1295025310
Pediatric Critical Care Medicine physician in Stony Brook, New York. Individual provider, active in the CMS NPPES registry since April 11, 2011.
## Identity
- **NPI:** 1295025310 (Entity type: Individual)
- **Enumerated:** April 11, 2011
- **Primary specialty:** Pediatrics - Pediatric Critical Care Medicine · taxonomy 2080P0203X
- **State license:** 280790 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 101 NICOLLS RD # LEVEL11N, Stony Brook, NY 11794-0001
- **Phone:** (631) 444-0650
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Stony Brook Children's Service, University Faculty Practice Corporatio (NPI 1083660575, Stony Brook, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 2015
## Record status
- **NPPES last updated:** November 8, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1295025310) · Data from the CMS NPPES public registry.