Individual provider Active NPI

Benjamin Keggi, D.O.

  • Family Medicine Physician
  • Sandpoint, ID
National Provider Identifier
1164957932
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP60959580 Issued in WA
Practice address
423 N 3Rd Ave Ste 210
Sandpoint, ID 83864-1511
Phone
(208) 265-2221
Fax
(082) 652-2292
NPI assigned
Apr 28, 2017
Last updated
Jan 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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 NU
Family Medicine Physician 207Q00000X OP60959580 WA Primary

Addresses

Primary practice location

423 N 3Rd Ave Ste 210
Sandpoint, ID 83864-1511

Mailing address

521 E Mountain View Ave
Ellensburg, WA 98926-3865
Phone (509) 962-1414

Other identifiers 1

IdentifierTypeStateIssuer
2080551MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MT, ID, HI4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20191127001598 WA Practitioner - Family Practice 3678833209 Reassigns benefits to 1 organization
I20200707002792 MT Practitioner - Family Practice 3678833209 Reassigns benefits to 2 organizations
I20240328000536 ID Practitioner - Family Practice 3678833209
I20251124004200 HI Practitioner - Family Practice 3678833209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Permanente Medical Group IncGroup PAC ID 7618880667, 705 clinicians

Practice addresses (Care Compare)

74 -517 Honokohau St
Kailua Kona, HI 96740-2715
Phone (808) 432-0000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OP60959580WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bonner General Hospital Inc. CurrentSince Mar 1, 2024 Accepting new patients
Community Health of Central Washington Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
CMSC, LLC CurrentSince Jul 1, 2020 Accepting new patients
Community Health of Central Washington CurrentSince Oct 1, 2019 Accepting new patients
Hawaii Permanente Medical Group Inc CurrentSince Oct 20, 2025 Accepting new patients
Great Falls Clinic LLC CurrentSince Jul 1, 2020 Accepting new patients
Bonner General Hospital, Inc CurrentSince Mar 1, 2024 Accepting new patients
Bonner General Hospital, Inc. Family Medicine Past Accepting new patients
Bonner General Hospital, Inc. Family Medicine Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

74-517 Honokohau St
Kailua Kona, HI 96740
Phone (808) 334-4400

423 N Third Ave
Ste 210
Sandpoint, ID 83864
Phone (208) 263-1441

1400 29th St S
Great Falls, MT 59405
Phone (406) 442-3570

1509 29th St S
Great Falls, MT 59405
Phone (406) 771-3500

3010 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3095

521 E Mountain View Ave
Ellensburg, WA 98926
Phone (509) 962-1414

1806 W Lincoln Ave
Yakima, WA 98902
Phone (509) 452-4520

501 S 5th Ave
Yakima, WA 98902
Phone (509) 494-6700

Interoperability endpoints

  • Direct secure messaging: benjamin.keggi@bgh.gwaydirect.com
  • FHIR API: https://api.platform.athenahealth.com/25095/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.223001

Organizations & group practices 10

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

Hospital & facility affiliations 3

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": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1164957932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 E MOUNTAIN VIEW AVE",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263865",
            "telephone_number": "509-962-1414",
            "fax_number": "509-962-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 N 3RD AVE STE 210",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641511",
            "telephone_number": "208-265-2221",
            "fax_number": "082-652-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEGGI",
        "first_name": "BENJAMIN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-28",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP60959580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2080551",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

Verify at the official NPI Registry.