KEITH A MAYO MD
NPI 1922595396
Family Medicine in Glen Cove, NY

Q: What is Keith Mayo's NPI number?

The NPI number for Keith Mayo is 1922595396. It was assigned to this individual provider in the NPPES registry on April 20, 2018.

Q: What is Keith Mayo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Keith Mayo was last updated on June 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 20, 2018PECOS EnrolledAccepts Medicare Assignment

101 SAINT ANDREWS LN, GLEN COVE, NY 11542(516) 674-7631(516) 674-7639 Get Directions Write a Review

NPPES record last updated: June 18, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 18, 2021, Apr 20, 2018 (2 updates tracked since 2018).

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About Keith A Mayo Md NPPES

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

KEITH A MAYO MD (NPI 1922595396) is an individual family medicine provider in Glen Cove, New York, licensed in Virginia (0101271494) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Sentara Halifax Regional Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1922595396

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKEITH A MAYOCredential: MD

Location Address101 SAINT ANDREWS LNGlen Cove, NY 11542-2254

Mailing Address101 Saint Andrews LnGlen Cove, NY 11542-2254 · (516) 674-7631 · Fax (516) 674-7639

Phone(516) 674-7631

Fax(516) 674-7639

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 20, 2018

Last NPPES UpdateJune 18, 20212 updates tracked since enumeration

NPPES CertifiedJune 18, 2021

✔ NPI 1922595396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0101271494

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

101 SAINT ANDREWS LN, Glen Cove, NY 11542

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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

Keith A Mayo 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 ID3072867639

PECOS Enrollment IDI20210625000297

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 Keith Mayo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeastern Intensivist Services PC

984 mi

Hospitalist

2100 N 7TH ST
West Memphis, AR 72301

Reassigned Medicare billing, Virginia enrollment
528 clinicians in this Medicare group

NPI 1912942665 (870) 733-3020

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

374 services364 patients

Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes 99236

This service involves a brief hospital stay for a serious health issue. Patients are admitted and discharged on the same day, typically within 55 minutes. It allows for close monitoring and immediate treatment, ensuring optimal care.

17 services17 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sentara Halifax Regional Hospital

Acute Care Hospitals · South Boston, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490013

Location2204 Wilborn AvenueSouth Boston, VA 24592 · Halifax County

Emergency services

John Randolph Medical Center

Acute Care Hospitals · Hopewell, VA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number490020

Location411 West Randolph RoadHopewell, VA 23860 · Hopewell City County

Emergency services

Cjw Medical Center

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number490112

Location7101 Jahnke RoadRichmond, VA 23235 · Chesterfield County

Emergency services

Bon Secours St Francis Medical Center

Acute Care Hospitals · Midlothian, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number490136

Location13710 St Francis BoulevardMidlothian, VA 23114 · Chesterfield County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11542 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

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.

BRUCE W MARTIN FNP

Nurse Practitioner (Family)

101 SAINT ANDREWS LN
GLEN COVE, NY 11542

Nassau County (516) 674-7461

SUBOOR AZIMI

Pharmacist

101 SAINT ANDREWS LN
GLEN COVE, NY 11542

Nassau County (516) 674-7300

DR. JOHN D'ANGELO MD

Emergency Medicine

101 SAINT ANDREWS LN
GLEN COVE, NY 11542

Nassau County (516) 674-7325

MAAYAN ESTELLE LIEBERMAN M.D.

Student in an Organized Health Care Education/Training Program

101 SAINT ANDREWS LN, NSLIJ-GLEN COVE HOSPITAL
GLEN COVE, NY 11542

Nassau County (516) 674-7631

ALI AY

Hospitalist

101 SAINT ANDREWS LN
GLEN COVE, NY 11542

Nassau County (718) 270-2353

DR. OLUMIDE ADEYEKUN MD

Student in an Organized Health Care Education/Training Program

101 SAINT ANDREWS LN
GLEN COVE, NY 11542

Nassau County (516) 674-7300

WAI C MAN D.O.

Internal Medicine

101 SAINT ANDREWS LN
GLEN COVE, NY 11542

Nassau County (516) 674-7300

GURBHUSHAN SINGH BASRA M.D.

Radiology (Diagnostic Radiology)

101 SAINT ANDREWS LN
GLEN COVE, NY 11542

Nassau County (516) 674-7540

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 Keith Mayo's NPI number?

The NPI number for Keith Mayo is 1922595396. It was assigned to this individual provider in the NPPES registry on April 20, 2018.

Where is Keith Mayo located?

Keith Mayo practices at 101 Saint Andrews Ln, Glen Cove, NY 11542. The listed phone number is (516) 674-7631.

What is Keith Mayo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Keith Mayo enrolled in Medicare?

Yes. Keith Mayo 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 organization bills Medicare for Keith Mayo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Mayo reassigns Medicare benefits to Southeastern Intensivist Services PC (West Memphis, AR). 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 Keith Mayo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Keith Mayo affiliated with any hospitals?

According to CMS data, Keith Mayo is affiliated with Sentara Halifax Regional Hospital, John Randolph Medical Center, Cjw Medical Center and Bon Secours St Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Keith Mayo was last updated on June 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.