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DR. KEILI ANN MISTOVICH MD
NPI 1760748651
Student in an Organized Health Care Education/Training Program in South Euclid, OH

Active since April 05, 2012PECOS Enrolled
2054 SOUTH GREEN RD., SENDERS PEDIATRICS, SOUTH EUCLID, OH 44121(216) 291-9210(216) 291-9422 Get Directions Write a Review

NPPES record last updated: October 13, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Keili Ann Mistovich Md NPPES

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

DR. KEILI ANN MISTOVICH MD (NPI 1760748651) is an individual student in an organized health care education/training program in South Euclid, Ohio and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760748651
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. KEILI ANN MISTOVICHCredential: MD
Location Address2054 SOUTH GREEN RD., SENDERS PEDIATRICSSouth Euclid, OH 44121
Mailing Address2054 South Green Rd., Senders PediatricsSouth Euclid, OH 44121 · (216) 291-9210 · Fax (216) 291-9422
Phone(216) 291-9210
Fax(216) 291-9422
Sole ProprietorNo
Enumeration DateApril 5, 2012
Last NPPES UpdateOctober 13, 2016
✔ NPI 1760748651 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.
2054 SOUTH GREEN RD., South Euclid, OH 44121
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Keili Ann Mistovich 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.

Medicare Billing Reassignment

Medicare enrollment records show Keili Mistovich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Hospitals Medical Group Inc
4.5 mi
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Keili Mistovich's NPI number?

The NPI number for Keili Mistovich is 1760748651. It was assigned to this individual provider in the NPPES registry on April 5, 2012.

Where is Keili Mistovich located?

Keili Mistovich practices at 2054 South Green Rd. Senders Pediatrics, South Euclid, OH 44121. The listed phone number is (216) 291-9210.

What is Keili Mistovich's specialty?

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

Is Keili Mistovich enrolled in Medicare?

Yes. Keili Mistovich is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keili Mistovich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keili Mistovich reassigns Medicare benefits to University Hospitals Medical Group Inc (Cleveland, OH). The 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 Keili Mistovich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keili Mistovich accept?

Health plans from CareSource list Keili Mistovich 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.

When was this NPI record last updated?

The NPPES record for Keili Mistovich was last updated on October 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.