DR. GRACE LEE KER M.D.
NPI 1295025310
Pediatrics - Pediatric Critical Care Medicine in Stony Brook, NY

Q: 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.

Q: 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.

Q: 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.

Active since April 11, 2011PECOS EnrolledAccepts Medicare Assignment

101 NICOLLS RD # LEVEL11N, STONY BROOK, NY 11794(631) 444-0650 Get Directions Write a Review

NPPES record last updated: November 8, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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 and is a graduate of Wayne State University School Of Medicine (2015).

NPPES Registry Identity

NPI1295025310

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameDR. GRACE LEE KERCredential: M.D.

Location Address101 NICOLLS RD # LEVEL11NStony Brook, NY 11794-0001

Mailing Address280 Chestnut St, 2nd FloorSpringfield, MA 01199-1619 · (413) 794-5700

Phone(631) 444-0650

Sole ProprietorYes

Medical School CMSWayne State University School Of MedicineGraduated 2015

Enumeration DateApril 11, 2011

Last NPPES UpdateNovember 8, 2019

✔ NPI 1295025310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in NY · 280790

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

101 NICOLLS RD # LEVEL11N, Stony Brook, NY 11794

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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. 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.

PECOS PAC ID1951526631

PECOS Enrollment IDI20191101000181

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.

Other Providers at the Same Location NPPES

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

CATHERINE L URBAN MD

Pediatrics (Pediatric Critical Care Medicine)

101 NICOLLS RD # LEVEL11N
STONY BROOK, NY 11794

Suffolk County (631) 444-2648

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.

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.