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KEISHA PATRICIA TARGET MD
NPI 1316696560
Student in an Organized Health Care Education/Training Program in Silver Spring, MD

Active since March 23, 2022PECOS Enrolled
58 SILVER MOON DR, SILVER SPRING, MD 20904(954) 305-6594 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keisha Patricia Target Md NPPES

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

KEISHA PATRICIA TARGET MD (NPI 1316696560) is an individual student in an organized health care education/training program in Silver Spring, Maryland and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316696560
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKEISHA PATRICIA TARGETCredential: MD
Location Address58 SILVER MOON DRSilver Spring, MD 20904-1249
Mailing AddressRockley Golf & Country Club, Golf Club Road, Apt 225 Golden Grove ClusterBridgetown, CHRIST CHURCH 15121
Phone(954) 305-6594
Sole ProprietorYes
Enumeration DateMarch 23, 2022
NPPES CertifiedMarch 23, 2022
✔ NPI 1316696560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
58 SILVER MOON DR, Silver Spring, MD 20904
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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 (PECOS)

Keisha Patricia Target Md 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.

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 Keisha Target's NPI number?

The NPI number for Keisha Target is 1316696560. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Keisha Target located?

Keisha Target practices at 58 Silver Moon Dr, Silver Spring, MD 20904. The listed phone number is (954) 305-6594.

What is Keisha Target's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Keisha Target enrolled in Medicare?

Yes. Keisha Target is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keisha Target was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.