DR. KEITH KASTELIC (MD) – Diagnostic Radiology Physician, NPI 1053405381

DR. KEITH KASTELIC (MD) is a healthcare provider. based in Leesburg, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 104154 (MO). The NPI Number for DR. KEITH KASTELIC (MD) is 1053405381

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEITH KASTELIC (MD)
NPI
1053405381
Phone
(352) 365-2583
Address
734 N 3RD ST
Enumeration Date
3 October 2006
Last Update Date
10 May 2016

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
3527875858
Graduation Year
1993 (33 years ago)
PAC ID
7315922002
Group Practice PAC ID
0042116865
Professional Enrollment ID
I20160422001361
Address ID
FL347487601LE801XXAVEX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,168 DIAGNOSTIC RADIOLOGY in FL

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Provider Addresses for DR. KEITH KASTELIC (MD)

  • 734, North 3rd Street, Leesburg, Lake County, Florida, 34748, United States

    STE 115

    LEESBURG, FL 347485285

    Phone: (352) 365-2583

    Fax: (352) 728-6749

    Type: Mailing

  • 801, Dixie Avenue, Leesburg, Lake County, Florida, 34748, United States

    STE 104

    LEESBURG, FL 347487699

    Phone: (352) 365-2583

    Fax: (352) 728-6749

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-04-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160422001361IDiagnostic RadiologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
A9575Injection, gadoterate meglumine, 0.1 ml23,900147$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml13,025188$0
77067Screening mammography1,2421,242$0
77063Screening 3d breast mammography1,2171,217$0
71045X-ray of chest, 1 view790697$0
View full utilization report →

Insurance plans in this area (ZIP 34748)

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Provider's Procedures

DR. KEITH KASTELIC (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYFL20610Aspiration and/or injection of large joint or joint capsule2222
DIAGNOSTIC RADIOLOGYFL71250CT scan chest5050
DIAGNOSTIC RADIOLOGYFL73110X-ray of wrist, minimum of 3 views2928
DIAGNOSTIC RADIOLOGYFL73562X-ray of knee, 3 views1815
DIAGNOSTIC RADIOLOGYFL73630X-ray of foot, minimum of 3 views3530
DIAGNOSTIC RADIOLOGYFL74177CT scan of abdomen and pelvis with contrast6564
DIAGNOSTIC RADIOLOGYFL76830Ultrasound pelvis through vagina1616
DIAGNOSTIC RADIOLOGYFL76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1414
DIAGNOSTIC RADIOLOGYFL78815Nuclear medicine study with CT imaging skull base to mid-thigh1414
DIAGNOSTIC RADIOLOGYFL93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers7878

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042116865View full group profile
NameSpecialtyState
Interventional Radiology, Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyFL
-FL
Diagnostic Radiology, Nuclear MedicineFL
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Interventional Radiology, Diagnostic RadiologyFL

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Frequently asked questions

Can I verify DR. KEITH KASTELIC (MD) with an NPI only?
You can start verification with NPI 1053405381 for DR. KEITH KASTELIC (MD), then check state licensing separately.
Is DR. KEITH KASTELIC (MD) still practicing?
DR. KEITH KASTELIC (MD) is currently listed as active in the public NPI registry.
What is DR. KEITH KASTELIC (MD) best known for clinically?
Directory data describes DR. KEITH KASTELIC (MD) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. KEITH KASTELIC (MD) based?
DR. KEITH KASTELIC (MD) is tied to Leesburg, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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