Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407387855 Individual Practitioner Female Practitioner

Dr. Shannon Keisling , MD

Surgery • Bronx, NY

Professional Overview & Biography Verified Profile Summary

Dr. Shannon Keisling, MD is a registered healthcare professional specializing in Surgery in Bronx, NY. Practice services are available at 111 E 210TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

111 E 210th St

Bronx, NY 104672401

Telephone 7186962583
Fax 7188815074
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.1 Yrs
State Avg: 27.8 Yrs
Regional Practice Density
113 Specialists

Practicing in Bronx, NY (2269 Statewide)

Telehealth Adoption Rate
4.4% 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: 2025-05-08
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 330631

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Utsav Soni , MD

Student in an Organized Health Care Education/Training Program

NPI 1003494410

Doctor of Medicine (M.D.)

NPI 1013448612

Doctor of Medicine (M.D.)

Dr. Or Shefi , MD

Student in an Organized Health Care Education/Training Program

NPI 1013766013

Doctor of Medicine (M.D.)

Shuo Huang , MS

Surgery - Vascular Surgery

NPI 1073017000

Master of Science

Dr. Brandon Nussenblatt , MD

Student in an Organized Health Care Education/Training Program

NPI 1073073011

Doctor of Medicine (M.D.)

Dr. Christian Adkisson , MD

Student in an Organized Health Care Education/Training Program

NPI 1083118103

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 27, 2017

Registered at 111 E 210TH ST, BRONX, NY 104672401 (Tel: 7186962583)

📍
Updated Business Mailing Address March 27, 2017

Registered at 111 E 210TH ST, BRONX, NY 104672401 (Tel: 7186962583)

👤
Provider Name / Credentials Updated March 27, 2017

Recorded as SHANNON KEISLING, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 27, 2017

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: 1407387855
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2017
Last Update: May 08, 2025
Sole Proprietor: No

Mailing Address

111 E 210th St

Bronx, NY 104672401

Phone: 7186962583

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.