Keaton L Altom, MD
Individual provider Active NPI Surgery Physician · Fort Hood, TX
NPI 1265068035 · NPPES record last updated Jul 22, 2026
Key facts
- NPI
- 1265068035
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- MD-22125-0 (HI)
- Practice address
- 36065 Santa Fe Ave
Fort Hood, TX 76544-5060 - Phone
- (254) 288-8888
- NPI assigned
- Mar 12, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-22125-0 | HI | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD-22125-0 | HI | Yes |
Addresses
Primary practice location
36065 Santa Fe Ave
Fort Hood, TX 76544-5060
Mailing address
2205 High View Dr
Belton, TX 76513-1054
Phone (573) 820-2100
Other practice location 1
3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 432-7934
Other practice location 2
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-3435
Other providers in Fort Hood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.