CYNTHIA M KELLER MD
NPI 1609868538
Pediatrics in Redmond, WA
NPI Status: Active since August 17, 2005
Contact Information
8301 161ST AVE NE
#204
REDMOND, WA
ZIP 98052
Phone: (425) 881-5437
Fax: (425) 881-8746
- Individual
- Female
- Pediatrics
- Accepts Insurance
- Opted-Out Medicare
About CYNTHIA KELLER
This page provides the complete NPI Profile along with additional information for Cynthia Keller, a pediatrician established in Redmond, Washington with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1609868538 assigned on August 2005. The practitioner's primary taxonomy code is 208000000X with license number MD00040426 (WA). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1609868538
- Provider Name
- CYNTHIA M KELLER MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 8301 161ST AVE NE #204 REDMOND, WA 98052
- Location Phone
- (425) 881-5437
- Location Fax
- (425) 881-8746
- Mailing Address
- 8301 161ST AVE NE #204 REDMOND, WA 98052
- Mailing Phone
- (425) 881-5437
- Mailing Fax
- (425) 881-8746
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-17-2005
- Last Update Date
- 07-08-2007
- Code Navigator
A pediatrician like Cynthia Keller is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Cynthia Keller opted out of Medicare effective on 12-23-2021 until 12-23-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD00040426
- License State
- WA
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 12-23-2021
Opt-Out End Date: 12-23-2025
Eligible to Order and Refer? No
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1609868538, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 72 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
REDMOND, WA 98052
REDMOND, WA 98052
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609868538, enumerated as an "individual" on August 17, 2005.
The provider is located at 8301 161ST AVE NE #204 REDMOND, WA 98052 and the phone number is (425) 881-5437.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska and. Please consult your insurance carrier or call the provider to verify.
