EYTAN KEIDAR (D.O.) – Otolaryngology Physician, NPI 1053846238

EYTAN KEIDAR (D.O.) is a healthcare provider. based in Brighton, Michigan. specializing in OTOLARYNGOLOGY. They hold the professional credentials D.O.. They hold a License No. 5101023492 (MI). The NPI Number for EYTAN KEIDAR (D.O.) is 1053846238

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
EYTAN KEIDAR (D.O.)
NPI
1053846238
Phone
(810) 844-1900
Address
6249 Grand River Rd
Enumeration Date
26 April 2017
Last Update Date
30 September 2025

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2484777020
Graduation Year
2017 (9 years ago)
PAC ID
0941570006
Group Practice PAC ID
0648370874
Professional Enrollment ID
I20230706003704
Address ID
MI483751882NO25500RDXX305
Telehealth
Yes

Contacts

Secure Messaging
eytan.keidar.1@2309.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness95
Years active:9State licenses:1Other names

428 OTOLARYNGOLOGY in MI

Provider Addresses for EYTAN KEIDAR (D.O.)

  • 6249 Grand River Rd

    Brighton, MI 481145305

    Phone: (810) 844-1900

    Fax: (810) 844-1981

    Type: Location

  • 31100 Telegraph Rd Ste 230

    Bingham Farms, MI 480254347

    Phone: (248) 453-6079

    Type: Location

  • McLaren Oakland, 50, North Perry Street, Pontiac, Oakland County, Michigan, 48342, United States

    PONTIAC, MI 483422217

    Phone:

    Type: Mailing

  • 25500 MEADOWBROOK RD STE 220

    NOVI, MI 483751882

    Phone: (248) 477-7020

    Type: Mailing

  • 1120 NW 14TH ST FL 5

    MIAMI, FL 331362107

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $3,050.

Total Amount is formed as General ($3,050) + Research ($0) + Ownership ($0) = $3,050.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Medtronic, Inc. ($906).

Total Amount

$3,050

General + Research + Ownership

Payments

39

Total payment records

General Amount

$3,050

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

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: 2023-07-06

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
I20230706003704IOtolaryngologyMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8467$0
31579Exam to assess movement of vocal cord flaps using an endoscope4944$0
69210Removal of impacted ear wax2926$0
99203New patient office or other outpatient visit, 30-44 minutes2626$0
31575Diagnostic exam of voice box using a flexible endoscope2120$0
View full utilization report →

Insurance plans in this area (ZIP 48114)

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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: 0648370874View full group profile
NameSpecialtyState
Qualified AudiologistPA
Qualified AudiologistMI
Qualified AudiologistMI
-MI
-MI
Qualified AudiologistMI
O T O L A R Y N G O L O G YMI
-MI
Otolaryngology, Plastic And Reconstructive SurgeryMI
Otolaryngology, Allergy/ImmunologyMI

Reviews

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Frequently asked questions

Does EYTAN KEIDAR (D.O.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — EYTAN KEIDAR (D.O.) uses 1053846238.
Is EYTAN KEIDAR (D.O.) listed as active for patients and plans?
The listing shows EYTAN KEIDAR (D.O.) as active in the NPI system.
What is EYTAN KEIDAR (D.O.)'s specialty?
The listing groups EYTAN KEIDAR (D.O.) with Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for EYTAN KEIDAR (D.O.)?
EYTAN KEIDAR (D.O.)'s geographic hint is Brighton, Michigan in our summary view.
Is the information about EYTAN KEIDAR (D.O.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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