Individual provider Active NPI

Keith Pirl, MD

  • Pediatrics Physician
  • Redding, CA
National Provider Identifier
1528061116
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD063417L Issued in PA
Practice address
1035 Placer St
Redding, CA 96001-1170
Phone
(530) 246-5710
Fax
(530) 241-7838
NPI assigned
May 27, 2005
Last updated
Nov 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD063417L PA Primary

Addresses

Primary practice location

1035 Placer St
Redding, CA 96001-1170

Mailing address

PO Box 992790
Redding, CA 96099-2790
Phone (530) 246-5710

Other identifiers 1

IdentifierTypeStateIssuer
0016602020001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20130912000111 PA Practitioner - Pediatric Medicine 7517101686 Reassigns benefits to 1 organization
I20260313003872 CA Practitioner - Pediatric Medicine 7517101686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1035 Placer St
Redding, CA 96001-1125

3850 W Buena Vista Ave
Visalia, CA 93291-8427

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD063417LPAMDPediatrics Physician
52563CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Health Services Inc CurrentSince Aug 28, 2013 Accepting new patients
Primary Care Health Services, Inc. CurrentSince Aug 28, 2013 Accepting new patients
Shasta Community Health Center CurrentSince Jan 28, 2026 Accepting new patients
Primary Care Health Services, Inc. Current Accepting new patients
Shasta Community Health Center CurrentSince Jan 28, 2026 Accepting new patients

Locations

1035 Placer St
Redding, CA 96001

4215 Front St
Shasta Lake, CA 96019
Phone (530) 246-5896

4918 2nd Ave
Pittsburgh, PA 15207
Phone (412) 422-9520

7225 Hamilton Ave
Pittsburgh, PA 15208
Phone (412) 244-4700

Interoperability endpoints

  • Direct secure messaging: keith.pirlmd.p1@direct.schc.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1528061116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 992790",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960992790",
            "telephone_number": "530-246-5710",
            "fax_number": "530-241-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 PLACER ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011170",
            "telephone_number": "530-246-5710",
            "fax_number": "530-241-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRL",
        "first_name": "KEITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD063417L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016602020001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.