JEAN I KEDDISSI MD
NPI 1568430718
Internal Medicine - Pulmonary Disease in Oklahoma City, OK

Active since March 12, 2006PECOS EnrolledAccepts Medicare Assignment
71.66/100
CMS Quality Rating
825 NE 10TH ST, OUPB 2500, OKLAHOMA CITY, OK 73104(405) 271-7001 Get Directions Write a Review

NPPES record last updated: July 3, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1568430718
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameJEAN I KEDDISSICredential: MD
Location Address825 NE 10TH ST, OUPB 2500Oklahoma City, OK 73104-5417
Mailing Address1122 Ne 13th St, Ori 236Oklahoma City, OK 73117-1039 · (405) 271-1515
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMarch 12, 2006
Last NPPES UpdateJuly 3, 2008
NPI 1568430718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in OK · 20091
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 20091 (OK)
825 NE 10TH ST, Oklahoma City, OK 73104

Other Identifiers 1

Medicare PIN24R602708

Accepted Insurance

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

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.

PECOS PAC ID2264461169
PECOS Enrollment IDI20050811000138
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.

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, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Physician 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.

New Patient
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

71.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.48
Promoting Interoperability100
Improvement Activities40
Cost52.07

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.

Surgery
825 NE 10TH ST, OUPB5350
OKLAHOMA CITY, OK 73104
Advanced Practice Midwife
825 NE 10TH ST, OUPB3300
OKLAHOMA CITY, OK 73104
Urology
825 NE 10TH ST, OUPB5400
OKLAHOMA CITY, OK 73104
Otolaryngology (Plastic Surgery within the Head & Neck)
825 NE 10TH ST
OKLAHOMA CITY, OK 73104
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
825 NE 10TH ST, OUPB 1C
OKLAHOMA CITY, OK 73104
Internal Medicine (Geriatric Medicine)
825 NE 10TH ST, OUPB 4400
OKLAHOMA CITY, OK 73104
Nurse Practitioner (Women's Health)
825 NE 10TH ST, SUITE 3300
OKLAHOMA CITY, OK 73104
Radiology (Radiation Oncology)
825 NE 10TH ST, OUPB1430
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.

What insurance does Jean Keddissi accept?

Health plans from Medica and 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.