KEITH R RIDEL (MD) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1053528935

KEITH R RIDEL (MD) is a healthcare provider. based in Fishers, Indiana. specializing in NEUROLOGY, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 01067562A (IN). The NPI Number for KEITH R RIDEL (MD) is 1053528935

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
KEITH R RIDEL (MD)
NPI
1053528935
Phone
(317) 588-3597
Address
10100 Lantern Rd Ste 125
Enumeration Date
17 May 2007
Last Update Date
10 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3175376088
Graduation Year
2005 (21 years ago)
PAC ID
8022140409
Group Practice PAC ID
6709868870
Professional Enrollment ID
I20100720001079
Address ID
IN462565626IN7250XDRXX302
Telehealth
Yes

Contacts

Secure Messaging
referrals@jwmn.gwaydirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

528 NEUROLOGY in IN

Provider Addresses for KEITH R RIDEL (MD)

  • 10100 Lantern Rd Ste 125

    Fishers, IN 460377806

    Phone: (317) 588-3597

    Type: Location

  • Clearvista Drive, Indianapolis, Indiana, 46256, United States

    INDIANAPOLIS, IN 462565626

    Phone: (317) 537-6088

    Fax: (317) 537-6092

    Type: Location

  • 6983, Hillsdale Court, Indianapolis, Indiana, 46250, United States

    INDIANAPOLIS, IN 462502054

    Phone: (317) 849-8350

    Fax: (317) 576-6311

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 590 Open Payments records for all available years, with a total value of $15,214.

Total Amount is formed as General ($13,219) + Research ($1,995) + Ownership ($0) = $15,214.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($2,062).

Total Amount

$15,214

General + Research + Ownership

Payments

590

Total payment records

General Amount

$13,219

General payments

Research Amount

$1,995

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2010-07-20

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
I20100720001079INeurologyINTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes276143$0
95720Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional16773$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes12284$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes107104$0
95816Measurement of brain wave activity (eeg), awake and drowsy7978$0
View full utilization report →

Insurance plans in this area (ZIP 46037)

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Provider's Procedures

KEITH R RIDEL (MD) performs procedures in NEUROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEUROLOGYIN95819Measurement and recording of brain wave (EEG) activity, awake and asleep1414

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: 6709868870View full group profile
NameSpecialtyState
N E U R O L O G YIN
N E U R O L O G YIN
N E U R O L O G YIN
N E U R O L O G YIN
N E U R O L O G YIL
Neurology, Sleep MedicineIN
Physician AssistantIN
Nurse PractitionerIN
N E U R O L O G YIN
-IN

Reviews

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Frequently asked questions

What number should I use to identify KEITH R RIDEL (MD) for billing?
Administrative and clinical systems typically use NPI 1053528935 for KEITH R RIDEL (MD).
Is KEITH R RIDEL (MD)'s NPI status active today?
Active status means KEITH R RIDEL (MD)'s NPI record is not deactivated in the public file.
What type of care does KEITH R RIDEL (MD) provide?
KEITH R RIDEL (MD)'s profile centers on Neurology with Special Qualifications in Child Neurology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KEITH R RIDEL (MD)?
KEITH R RIDEL (MD) is associated with Fishers, Indiana in the same public data insurers reference.
Why is information missing for KEITH R RIDEL (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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