Individual provider Active NPI

Cameron James Keen, PA-C

  • Physician Assistant
  • Murrysville, PA
National Provider Identifier
1477064582
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14316 Issued in TX
Practice address
4620 William Penn Hwy
Murrysville, PA 15668-2004
Phone
(412) 403-1183
NPI assigned
Oct 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X PA14316 TX Primary

Addresses

Primary practice location

4620 William Penn Hwy
Murrysville, PA 15668-2004

Mailing address

6001 Kingdom CT
Murrysville, PA 15668-2631
Phone (412) 403-1183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171204000621 PA Practitioner - Physician Assistant 6709143571 Reassigns benefits to 1 organization
I20210308001437 TX Practitioner - Physician Assistant 6709143571 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.59 of 100Reported as group
Quality
90.83
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine Inc CurrentSince Mar 24, 2019 Accepting new patients
Upmc Community Medcine Inc CurrentSince Mar 24, 2019 Accepting new patients
Methodist Health Centers Past Accepting new patients

Locations

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

Interoperability endpoints

  • Direct secure messaging: ckeen327951@ahs.direct-ci.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1477064582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 KINGDOM CT",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156682631",
            "telephone_number": "412-403-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 WILLIAM PENN HWY",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156682004",
            "telephone_number": "412-403-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEN",
        "first_name": "CAMERON",
        "middle_name": "JAMES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-16",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrysville, PA

Sources for this page

Verify at the official NPI Registry.