Individual provider Active NPI

Robert Keet, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Santa Cruz, CA
National Provider Identifier
1639272750
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
G31017 Issued in CA
Practice address
1595 Soquel Dr
Ste 400
Santa Cruz, CA 95065-1719
Phone
(831) 475-1111
Fax
(831) 475-0351
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X G31017 CA Primary

Addresses

Primary practice location

1595 Soquel Dr
Ste 400
Santa Cruz, CA 95065-1719

Mailing address

1595 Soquel Dr Ste 330
Santa Cruz, CA 95065-1722
Phone (831) 465-7761

Other identifiers 2

IdentifierTypeStateIssuer
G31017OtherCASTATE LICENSE NUMBER
GR0028554OtherCAMEDI-CAL GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071217000236 CA Practitioner - Internal Medicine 9133219082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

1595 Soquel Dr
Santa Cruz, CA 95065-1724

1820 41St Ave
Capitola, CA 95010-2516

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G31017CAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation CurrentSince Jul 1, 2007 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Dignity Health Medical Foundation CurrentSince Jul 1, 2007 Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

13350 Highway 236
Boulder Creek, CA 95006
Phone (831) 338-6491

1820 41st Ave
Ste C
Capitola, CA 95010
Phone (831) 462-1212

528 Capitola Ave
Capitola, CA 95010
Phone (831) 475-1630

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

1595 Soquel Dr
Ste 400
Santa Cruz, CA 95065
Phone (831) 475-1111

1595 Soquel Dr
Ste 411
Santa Cruz, CA 95065
Phone (831) 465-7778

245 Mount Hermon Rd
Ste L
Scotts Valley, CA 95066
Phone (831) 430-7203

4700 Soquel Dr
Soquel, CA 95073
Phone (831) 888-9410

Organizations & group practices 5

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1639272750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 SOQUEL DR STE 330",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651722",
            "telephone_number": "831-465-7761",
            "fax_number": "831-475-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 SOQUEL DR",
            "address_2": "STE 400",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651719",
            "telephone_number": "831-475-1111",
            "fax_number": "831-475-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEET",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "G31017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "G31017",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL GROUP NUMBER",
            "identifier": "GR0028554",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.