Individual provider Active NPI

Carmen Keith, MD

  • Pain Medicine Physician
  • El Paso, TX
National Provider Identifier
1730308065
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
2011034021 Issued in MO
Practice address
6000 Northern Pass Dr Ste A100
El Paso, TX 79911-7206
Phone
(915) 600-2905
Fax
(915) 600-7590
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2011034021 MO
Pain Medicine Physician 208VP0000X 2011034021 MO Primary

Addresses

Primary practice location

6000 Northern Pass Dr Ste A100
El Paso, TX 79911-7206

Mailing address

6000 Northern Pass Dr Ste A100
El Paso, TX 79911-7206
Phone (915) 600-2905

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200624001704 TX Practitioner - AnesthesiologyPractitioner - Pain Management 3678612819

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2011034021MOMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arianna Bender MD PA PastSince Jul 5, 2005 Accepting new patients
Tupelo Anesthesia Group PA Anesthesiology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: carmen.keith@523775437635588.direct.elationemr.com

Organizations & group practices 2

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1730308065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 NORTHERN PASS DR STE A100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799117206",
            "telephone_number": "915-600-2905",
            "fax_number": "915-600-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 NORTHERN PASS DR STE A100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799117206",
            "telephone_number": "915-600-2905",
            "fax_number": "915-600-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "CARMEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2011034021",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MO",
            "license": "2011034021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.