Individual provider Active NPI

Keith A Gilbert, PA

  • Physician Assistant
  • Arlington, TX
National Provider Identifier
1720032014
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06490 Issued in TX
Practice address
1050 W Arkansas LN
Arlington, TX 76013-6308
Phone
(817) 702-1100
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA06490 TX Primary

Addresses

Primary practice location

1050 W Arkansas LN
Arlington, TX 76013-6308

Mailing address

200 W Magnolia Ave Ste 201
Fort Worth, TX 76104-7657
Phone (817) 702-2977

Other practice location 1

1744 E Andrew Johnson Hwy
Greeneville, TN 37745-4278
Phone (423) 636-8891

Other identifiers 2

IdentifierTypeStateIssuer
P00291765OtherRAILROAD MEDICARE
TN0100OtherUNITED HEALTHCARE RIVER V

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20100324000039 TX Practitioner - Physician Assistant 7517997927 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primamed Physicians, PLLCGroup PAC ID 9234027897, 62 clinicians

Practice addresses (Care Compare)

4401 Little Rd
Suite 520
Arlington, TX 76016-5621
Phone (682) 318-3114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1264TNMDMarriage & Family Therapist
PA06490TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Primamed Physicians PLLC CurrentSince Dec 5, 2025 Accepting new patients
Primamed Physicians PLLC CurrentSince Dec 5, 2025 Accepting new patients
Citimed, P.a. Past Accepting new patients

Locations

4401 Little Rd
Ste 520
Arlington, TX 76016
Phone (682) 318-3114

11888 Marsh Ln
Ste 104
Dallas, TX 75234
Phone (972) 488-9222

3304 Alma Dr
Plano, TX 75023
Phone (972) 424-6581

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1720032014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W MAGNOLIA AVE STE 201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047657",
            "telephone_number": "817-702-2977",
            "fax_number": "817-702-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W ARKANSAS LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760136308",
            "telephone_number": "817-702-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1744 E Andrew Johnson Hwy",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377454278",
            "country_code": "US",
            "telephone_number": "423-636-8891",
            "fax_number": "423-636-1732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "KEITH",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00291765",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE RIVER V",
            "identifier": "TN0100",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.