Keith Bryan Byrd, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA56130 Issued in CA

Practice address

4785 Dandelion Loop
Tracy, CA 95377-8773

Phone

(209) 581-5519

NPI assigned

Nov 1, 2018

Last updated

Nov 1, 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

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: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Cost

84.14

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

Locations

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.

• Modesto Radiological Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Modesto, CA
  • NPI 1992747547
  Medicare reassignment NPD
• Altamont Emergency Physicians Medical Group Inc

  • Emergency Medicine Physician
  • Tracy, CA
  • NPI 1952392375
  Medicare reassignment
• Baz Allergy, Asthma & Sinus Center, Inc.

  • Allergy Physician
  • Fresno, CA
  • NPI 1710906995
  Medicare reassignment
• Baz Allergy, Asthma & Sinus Center

  • Allergy Physician
  • Clovis, CA
  • NPI 1396328779
  NPD

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1720555352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4785 DANDELION LOOP",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953778773",
            "telephone_number": "209-581-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4785 DANDELION LOOP",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953778773",
            "telephone_number": "209-581-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "KEITH",
        "middle_name": "BRYAN",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA56130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Theresa Burkey, LCSW
• Madelin Burnham
• Jeffrey Travis Burton, D.D.S.
• Ana Bustamante Laue
• Caila Butler
• Lilleth Byrne
• BZ Medical Corporation (tracy rehabilitation and pain center)
• Fernanda Cabrera Hidalgo
• Crystalyn Cabutotan
• Myleen-Ann Cacal

• Physician Assistant in Tracy, CA
• Providers in Tracy, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.