Individual provider Active NPI

Keith Murray McNab, DO

  • Emergency Medicine Physician
  • Fort Collins, CO
National Provider Identifier
1013354885
Registry record updated Jun 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DR.0060450 Issued in CO
Practice address
242 N Sherwood St
Fort Collins, CO 80521-2028
Phone
(208) 596-5656
NPI assigned
Jun 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OT015189 PA
Emergency Medicine Physician 207P00000X DR.0060450 CO Primary

Addresses

Primary practice location

242 N Sherwood St
Fort Collins, CO 80521-2028

Mailing address

242 N Sherwood St
Fort Collins, CO 80521-2028
Phone (208) 596-5656

Other practice location 1

10800 Knights Rd
Philadelphia, PA 19114-4200
Phone (215) 612-5161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OR, WA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180705000294 CO Practitioner - Emergency Medicine 1456652106 Reassigns benefits to 1 organization
I20230503001673 OR Practitioner - Emergency MedicinePractitioner - Family Practice 1456652106 Reassigns benefits to 2 organizations
I20230906002009 WA Practitioner - Emergency Medicine 1456652106 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rocky Vista University College of Osteopathic Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services - WashingtonGroup PAC ID 2860552973, 266 clinicians

Practice addresses (Care Compare)

401 W Poplar St
Walla Walla, WA 99362-2846
Phone (509) 897-2500

Hospital & facility affiliations

  • Providence St Mary Medical Center Hospital, Walla Walla, WA, CCN 500002
  • Good Shepherd Medical Center Hospital, Hermiston, OR, CCN 381325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DR.0060450COMDEmergency Medicine Physician
OT015189PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Good Shepherd Health Care System CurrentSince Jun 7, 2023 Accepting new patients
Providence Health & Services - Washington CurrentSince Aug 14, 2023 Accepting new patients
Emergency Professionals of Colorado, PC Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Providence Health & Services - Washington Emergency Medicine CurrentSince Aug 14, 2023 Accepting new patients
Emergency Professionals of Colorado, PC Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Good Shepherd Health Care System CurrentSince Jun 7, 2023 Accepting new patients
Northwest Emergency Physicians LLC Emergency Medicine CurrentSince Sep 3, 2023 Accepting new patients
Emergency Professionals of Colorado, PC Emergency Medicine Past Accepting new patients
Emergency Professionals of Colorado, PC Emergency Medicine Past Accepting new patients
On Demand Urgent Care Group PC Past Accepting new patients
Emergency Professionals of Colorado, PC Emergency Medicine Past Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

4700 Lady Moon Dr
Fort Collins, CO 80528
Phone (970) 521-4600

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

2000 70th Ave
Greeley, CO 80634
Phone (970) 352-7366

2000 Boise Ave
Loveland, CO 80538
Phone (970) 635-4071

615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322

600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

2801 St Anthony Way
Pendleton, OR 97801
Phone (541) 276-5121

3290 W 19th Ave
Kennewick, WA 99337
Phone (509) 942-2485

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

401 W Poplar St
Walla Walla, WA 99362
Phone (509) 522-5731

380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333

Interoperability endpoints

  • Direct secure messaging: kmcnab1452108@direct.lhs.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530316800000",
    "number": "1013354885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 N SHERWOOD ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212028",
            "telephone_number": "208-596-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 N SHERWOOD ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212028",
            "telephone_number": "208-596-5656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10800 Knights Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191144200",
            "country_code": "US",
            "telephone_number": "215-612-5161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNAB",
        "first_name": "KEITH",
        "middle_name": "MURRAY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-03",
        "last_updated": "2018-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "OT015189",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0060450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.