Keith S. Feder MD, Inc.
NPI 1245522317ActiveOrganization· Specialist· Manhattan Beach, CA
Specialist in Manhattan Beach, California, registered in NPPES in May 2011, part of Keith S. Feder MD, Inc. The authorized official on file is Keith Feder, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1245522317 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Keith S. Feder MD, Inc. |
| NPI issued | May 9, 2011 |
| Last updated in NPPES | Oct 31, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | G63788 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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