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

Keith R Ridel, MD

Individual provider Neurology with Special Qualifications in Child Neurology Physician · NPI 1053528935

Keith R Ridel, MD is a Neurology in Indianapolis, Indiana. Qualified in 2005, 21 years ago. Practices with Josephson-Wallack-Munshower Neurology PC, a 59-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
21
Licensed in
IN
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7250 Clearvista Dr Ste 225
Indianapolis, IN 46256-5626
Phone: (317) 537-6088
Fax: (317) 537-6092
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10100 Lantern Rd Ste 125, Fishers, IN 46037-7806 — (317) 588-3597

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X · Licence 01067562A (IN)

Record details

NPI number1053528935
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2007
Last updated in NPPESFebruary 10, 2023
Certification dateFebruary 10, 2023
Mailing address6983 Hillsdale Ct, Indianapolis, IN 46250-2054

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Josephson-Wallack-Munshower Neurology Pc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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