LEROY WAYNE KEISER M.D. – NPI #1417047283
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Health Care Provider Taxonomy Code for Internal Medicine

LEROY WAYNE KEISER is a physician located in SANTA ROSA, CA. NPPES has assigned the NPI number 1417047283 to LEROY WAYNE KEISER on October 13, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 5 years ago on Nov 03, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LEROY WAYNE KEISER below.

NPI Profile for
LEROY WAYNE KEISER

NPI Number
1417047283
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
LEROY WAYNE KEISER
Credentials
M.D.
Primary location
3555 ROUND BARN CIR STE 100
SANTA ROSA, CA 95403-1757
Phone: (707) 528-1050 Fax: (707) 525-3874
Mailing address
3555 ROUND BARN CIR
SANTA ROSA, CA 95403-1757
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Nov 03, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LEROY WAYNE KEISER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA00G284360
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)		 CA G28436
207RX0202X
- Internal Medicine / Medical Oncology		 CA G28436
207RH0000X
- Internal Medicine / Hematology		 CA G28436

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
3555 ROUND BARN CIR STE 100,
SANTA ROSA, CA 77025-1669

Additional Information

Education
STANFORD UNIVERSITY SCHOOL OF MEDICINE - Graduated 1973
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
LEROY WAYNE KEISER is affiliated with the following medical group(s):
  • HOSPITAL
    • ADVENTIST HEALTH UKIAH VALLEY
      275 HOSPITAL DRIVE
      UKIAH, CA 95482
    • HEALDSBURG HOSPITAL
      1375 UNIVERSITY AVENUE
      HEALDSBURG, CA 95448
    • MENDOCINO COAST DISTRICT HOSPITAL
      700 RIVER DRIVE
      FORT BRAGG, CA 95437
    • PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL
      1165 MONTGOMERY DR
      SANTA ROSA, CA 95405
    • SONOMA VALLEY HOSPITAL
      347 ANDRIEUX ST
      SONOMA, CA 95476
  • HOME HEALTH AGENCY
    • PROVIDENCE HOME HEALTH SONOMA
      441 COLLEGE AVENUE
      SANTA ROSA, CA 95401

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.