Active NPI
Keepon Kamau
- Certified Registered Nurse Anesthetist
- Lima, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN.CRNA.0020612
- Practice address
- 1001 Bellefontaine Ave
Lima, OH 45804-2899 - Phone
- (419) 228-3335
- NPI assigned
- Aug 18, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | IR.964386 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN.CRNA.0020612 | OH | Primary |
Addresses
Primary practice location
1001 Bellefontaine Ave
Lima, OH 45804-2899
Mailing address
2842 Northgate Blvd Apt 7
Fort Wayne, IN 46835-2925
Phone (832) 983-1056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, OR, AK
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2310 Peger Rd
Fairbanks, AK 99709-5305
Phone (469) 437-3564
2700 SE Stratus Ave
McMinnville, OR 97128-6255
Phone (503) 472-6131
Hospital & facility affiliations
- Willamette Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IR.964386 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates Northwest LLC | Current | Accepting new patients | |
| Anesthesia Associates of Lima Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Consultants of Fairbanks LLC | Current | Accepting new patients | |
| Columbia Lutheran Charities | Current | Accepting new patients | |
| Columbia Lutheran Charities | Current | Accepting new patients | |
| Lima Memorial Professional Corporation | Current | Accepting new patients | |
| Columbia Lutheran Charities | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Columbia Lutheran Charities | Past | Accepting new patients | |
| Columbia Lutheran Charities | Past | Accepting new patients |
Locations
2310 Peger Rd
Fairbanks, AK 99709
Phone (907) 458-7263
L3688
Columbus, OH 43260
L3982
Columbus, OH 43260
730 W Market St
Lima, OH 45801
Phone (419) 226-4310
1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335
2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321
2700 SE Stratus Ave
McMinnville, OR 97128
Phone (503) 435-1200
120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883
Organizations & group practices 10
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.
-
- Anesthesiology Physician
- Milwaukie, OR
- NPI 1548281751
-
- Anesthesiology Physician
- Fairbanks, AK
- NPI 1285272260
-
- Certified Registered Nurse Anesthetist
- Lima, OH
- NPI 1487662300
Nurse Anesthetist, Certified Registered
-
- Specialist
- Lima, OH
- NPI 1457474900
-
- Critical Access Hospital
- Astoria, OR
- NPI 1134146939
-
- Surgery Physician
- Astoria, OR
- NPI 1821254129
-
- Community/Retail Pharmacy
- Astoria, OR
- NPI 1093003667
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Community Based Hospice Care Agency
- Astoria, OR
- NPI 1023038858
-
- Critical Access Hospital
- Astoria, OR
- NPI 1932814704
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- McMinnville, OR
- NPI 1346269982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1730807488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2842 NORTHGATE BLVD APT 7",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468352925",
"telephone_number": "832-983-1056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 BELLEFONTAINE AVE",
"city": "LIMA",
"state": "OH",
"postal_code": "458042899",
"telephone_number": "419-228-3335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMAU",
"first_name": "KEEPON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-18",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "IR.964386",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "APRN.CRNA.0020612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.