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Deactivated NPI 1568408953 Deactivated / Inactive NPI Male Practitioner

Dr. Keith Custer , MD

Internal Medicine • Miami, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Keith Custer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 22, 2006
NPI Deactivation Date July 31, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Keith Custer, MD was a registered Internal Medicine practicing in Miami, FL. Throughout an active medical career spanning 19 years, Dr. Custer provided care at the practice location at 1611 NW 12TH AVE until profile deactivation on 2025-07-31.

Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1611 Nw 12th Ave

Miami, FL 331361005

Telephone 3055851111
Fax 3055855655
Associated Practice Facility / Clinic
🏢 University Of Miami Facility NPI 1588613939

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Miami, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.1 Yrs
State Avg: 26.5 Yrs
Regional Practice Density
788 Specialists

Practicing in Miami, FL (10650 Statewide)

Telehealth Adoption Rate
17.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
33 29 $193.00 $55.65

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME19802

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Wanda Mcgowan-Braynen , ARNP

Nurse Practitioner - Adult Health

NPI 1003068552

Advanced Registered Nurse Practitioner

Dr. Elie Samir Alam , MD

Student in an Organized Health Care Education/Training Program

NPI 1003326695

Doctor of Medicine (M.D.)

NPI 1003375890

Doctor of Medicine (M.D.)

Renzo Alderete , APRN

Nurse Practitioner

NPI 1003383381

Advanced Practice Registered Nurse

Dr. Aazim Arif , MD

Radiology - Diagnostic Radiology

NPI 1003443755

Doctor of Medicine (M.D.)

NPI 1003492505

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 31, 2025

Record deactivated on July 31, 2025

NPI Profile Active May 04, 2012

NPI status registered as active in NPPES database

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Updated Practice Location May 04, 2012

Registered at 1611 NW 12TH AVE, MIAMI, FL 331361005 (Tel: 3055851111)

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Updated Business Mailing Address May 04, 2012

Registered at 1500 NW 12TH AVE, JMT-EAST 1007, MIAMI, FL 331361028 (Tel: 3052434664)

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Provider Name / Credentials Updated May 04, 2012

Recorded as KEITH CUSTER, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2012

Internal Medicine (License #ME19802 in FL)

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Initial NPI Registration & Enumeration June 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568408953
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2006
Last Update: May 04, 2012
Deactivation Date: July 31, 2025

Mailing Address

1500 Nw 12th Ave, Jmt-East 1007

Miami, FL 331361028

Phone: 3052434664

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.