DR. KEISHA Y. DYER (M.D.) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1467666388

DR. KEISHA Y. DYER (M.D.) is a healthcare provider. based in Orlando, Florida. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. A100110 (CA). The NPI Number for DR. KEISHA Y. DYER (M.D.) is 1467666388

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEISHA Y. DYER (M.D.)
NPI
1467666388
Phone
(321) 842-4810
Address
21 COLUMBIA ST
Enumeration Date
9 May 2007
Last Update Date
6 October 2022

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
3218416444
Graduation Year
2003 (23 years ago)
PAC ID
0446345912
Group Practice PAC ID
9537059084
Professional Enrollment ID
I20220617001126
Address ID
FL327894756WI1111XAVEX400
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness85
Years active:19State licenses:3Other namesUpdated within 12 months

4,007 OBSTETRICS/GYNECOLOGY in CA

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Provider Addresses for DR. KEISHA Y. DYER (M.D.)

  • 21 COLUMBIA ST

    ORLANDO, FL 328061133

    Phone: (321) 842-4810

    Fax: (321) 842-4809

    Type: Mailing

  • Perlman Ambulatory Care Center, 9350, Campus Point Drive, San Diego, San Diego County, California, 92037, United States

    SUITE 2A #0974

    LA JOLLA, CA 920371300

    Phone: (858) 657-8435

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $663.

Total Amount is formed as General ($663) + Research ($0) + Ownership ($0) = $663.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Medtronic, Inc. ($305).

Total Amount

$663

General + Research + Ownership

Payments

17

Total payment records

General Amount

$663

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-06-17

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
I20220617001126IObstetrics/GynecologyFLTBD

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
51701Insertion of temporary bladder tube164133$0
99215Established patient office or other outpatient visit, 40-54 minutes16190$0
99205New patient office or other outpatient visit, 60-74 minutes8989$0
99214Established patient office or other outpatient visit, 30-39 minutes7853$0
52000Diagnostic exam of bladder and urethra using an endoscope6059$0
View full utilization report →

Insurance plans in this area (ZIP 32806)

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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: 9537059084View full group profile
NameSpecialtyState
Internal MedicineFL
O B S T E T R I C S/ G Y N E C O L O G YNY
Nurse PractitionerFL
Internal MedicineFL
Vascular Surgery, General SurgeryFL
Physical Therapist In Private PracticeFL
Sports MedicineOH
Nurse PractitionerFL
Internal MedicineFL
Internal MedicineIA

Reviews

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Frequently asked questions

What NPI should I save for DR. KEISHA Y. DYER (M.D.)?
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The extract we use shows DR. KEISHA Y. DYER (M.D.) as active.
What kind of provider is DR. KEISHA Y. DYER (M.D.)?
The page reflects Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician for DR. KEISHA Y. DYER (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. KEISHA Y. DYER (M.D.)?
The snapshot lists Orlando, Florida for DR. KEISHA Y. DYER (M.D.); download NPPES for the complete set.
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Street-level detail can be omitted — open the full address list for this NPI.

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