JEAN I KEDDISSI MD
NPI 1568430718
Internal Medicine - Pulmonary Disease in Oklahoma City, OK
About Jean I Keddissi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEAN I KEDDISSI MD (NPI 1568430718) is an individual pulmonary disease provider in Oklahoma City, Oklahoma, licensed in Oklahoma (20091) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with O U Medical Center, and is a graduate of Other (1993).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted 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
Jean I Keddissi Md 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 Reassignments
2Medicare enrollment records show Jean Keddissi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oklahoma City, OK 73104
- Reassigned Medicare billing, Oklahoma enrollment
- 845 clinicians in this Medicare group
Oklahoma City, OK 73104
- Reassigned Medicare billing, Oklahoma enrollment
- 1,795 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
O U Medical Center
Acute Care Hospitals · Oklahoma City, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OKLAHOMA CITY, OK 73104
OKLAHOMA CITY, OK 73104
OKLAHOMA CITY, OK 73104
OKLAHOMA CITY, OK 73104
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 Jean Keddissi's NPI number?
The NPI number for Jean Keddissi is 1568430718. It was assigned to this individual provider in the NPPES registry on March 12, 2006.
Where is Jean Keddissi located?
Jean Keddissi practices at 825 NE 10th St Oupb 2500, Oklahoma City, OK 73104. The listed phone number is (405) 271-7001.
What is Jean Keddissi's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Jean Keddissi enrolled in Medicare?
Yes. Jean Keddissi 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 Jean Keddissi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jean Keddissi reassigns Medicare benefits to 2 organizations: Board Of Regents Of The University Of Oklahoma - Ou Physicians (Oklahoma City, OK) and Ou Health Partners, Inc (Oklahoma City, OK). 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 Jean Keddissi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jean Keddissi accept?
Health plans from Mending Health list Jean Keddissi 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 Jean Keddissi affiliated with any hospitals?
According to CMS data, Jean Keddissi is affiliated with O U Medical Center.
When was this NPI record last updated?
The NPPES record for Jean Keddissi was last updated on July 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Jean I Keddissi, MD · NPI 1568430718
Pulmonary Disease physician in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since March 12, 2006.
## Identity
- **NPI:** 1568430718 (Entity type: Individual)
- **Enumerated:** March 12, 2006
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** 20091 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 825 NE 10TH ST, OUPB 2500, Oklahoma City, OK 73104-5417
- **Phone:** (405) 271-7001
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Board Of Regents Of The University Of Oklahoma - Ou Physicians (NPI 1801869250, Oklahoma City, OK); Ou Health Partners, Inc (NPI 1528642642, Oklahoma City, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** July 3, 2008
- **Other identifiers:** Medicare PIN 24R602708
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Source: [NPI Profile](https://npiprofile.com/npi/1568430718) · Data from the CMS NPPES public registry.