Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265793897 Individual Practitioner Female Practitioner

Dr. Keon M Vasudevan , MD

Pediatrics • Brandywine, MD

Professional Overview & Biography Verified Profile Summary

Dr. Keon Vasudevan, MD is a registered healthcare professional specializing in Pediatrics in Brandywine, MD. Practice services are available at 7450 ALBERT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7450 Albert Rd
1st Floor

Brandywine, MD 206133035

Telephone 3018882233
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Brandywine, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Brandywine, MD (1907 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-16
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MD D79802

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
550018400 (MD)

Practice Associates & Co-Workers

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

33 Associated Practitioners
Jennifer Durham , RDH

Dental Hygienist

NPI 1013419639

Registered Dental Hygienist

NPI 1033219498

Doctor of Medicine (M.D.)

NPI 1043714066

Doctor of Dental Surgery

Dr. C. Emmanuel Ayers , MD

Obstetrics & Gynecology

NPI 1063564458

Doctor of Medicine (M.D.)

NPI 1073738480

Doctor of Medicine (M.D.)

Dawn Williams , MSN FNP-C

Nurse Practitioner - Family

NPI 1114648607

MSNFNPC

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Business Mailing Address February 16, 2023

Registered at 7450 ALBERT RD FL 3, BRANDYWINE, MD 206133035 (Tel: 3018882233)

👤
Provider Name / Credentials Updated January 05, 2023

Recorded as KEON VASUDEVAN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2023

Pediatrics (License #D79802 in MD)

NPI Profile Active December 22, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 22, 2016

Registered at 7450 ALBERT RD, 1ST FLOOR, BRANDYWINE, MD 206133035 (Tel: 3018882233)

📍
Updated Business Mailing Address December 22, 2016

Registered at 7450 ALBERT RD, 1ST FLOOR, BRANDYWINE, MD 206133035 (Tel: 3018882233)

👤
Provider Name / Credentials Updated December 22, 2016

Recorded as KEON VASUDEVAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 30, 2012

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: 1265793897
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2012
Last Update: February 16, 2023
Sole Proprietor: No

Mailing Address

7450 Albert Rd Fl 3

Brandywine, MD 206133035

Phone: 3018882233

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.