Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Keith Joseph Dahl, DO

Individual provider Internal Medicine Physician · NPI 1043479033

Dr. Keith Joseph Dahl, DO is a Gastroenterology in Staten Island, New York. Qualified in 2004, 22 years ago. Practices with Advantagecare Physicians PC, a 310-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
22
Licensed in
NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1050 Clove Rd
Staten Island, NY 10301-3627
Phone: (718) 816-6440
Fax: (718) 816-3656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4771 Hylan Blvd, Staten Island, NY 10312-6315 — (718) 948-8200

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 248916 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 248916 (NY)

Record details

NPI number1043479033
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 4, 2008
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Advantagecare Physicians Pc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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