Jeffrey J Keil, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

3821 Issued in AZ

Practice address

20940 N Tatum Blvd
Ste B 290
Phoenix, AZ 85050

Phone

(602) 734-1834

Fax

(602) 734-1835

NPI assigned

Mar 19, 2008

Last updated

Dec 10, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brian F Gruber MD LTDGroup PAC ID 5294046231, 8 clinicians

Premier Therapy Centers, IncGroup PAC ID 5092605717, 140 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGBJCA/Endpoint/BGBJCA

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.

• Brian F. Gruber, M.D., LTD

  dba Integrated Orthopedics of Arizona

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Scottsdale, AZ
  • NPI 1700284791
  Medicare reassignment Care Compare group
• Premier Therapy Centers, Inc

  • Physical Therapy Clinic/Center
  • West Bloomfield, MI
  • NPI 1962512202
  Care Compare group
• Neurosurgical Associates, LTD

  dba Barrow Brain and Spine

  • Neurological Surgery Physician
  • Phoenix, AZ
  • NPI 1043202484
  NPD (past)
• Sanus DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Scottsdale, AZ
  • NPI 1740790393
  NPD (past)

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1265603195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20940 N TATUM BLVD",
            "address_2": "STE B 290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85050",
            "telephone_number": "602-734-1834",
            "fax_number": "602-734-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20940 N TATUM BLVD",
            "address_2": "STE B 290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85050",
            "telephone_number": "602-734-1834",
            "fax_number": "602-734-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIL",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-19",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "3821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402301",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET ID",
            "identifier": "3Z3912",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Kehoe
• Allysa Kehring, MD
• Jennifer Kehrle, LMFT
• Richard George Keightley, M.D.
• Amanda Keil, FNP-C
• Kelsey Keil, SLP
• Jenna Lee Keim
• Krista Kaye Keiper
• Jenna Elaine Keister, PHARM.D.
• Keith E Morris MD PLC

• Medical Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.