Individual provider Active NPI

Keepon Kamau

  • Certified Registered Nurse Anesthetist
  • Lima, OH
National Provider Identifier
1730807488
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.0020612 Issued in OH
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

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, AK3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220926003464 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365828522 Reassigns benefits to 2 organizations
I20250128004223 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365828522 Reassigns benefits to 3 organizations
I20251024003136 AK Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365828522 Reassigns benefits to 1 organization

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
Anesthesia Consultants of Fairbanks LLCGroup PAC ID 9234566340, 9 clinicians
Anesthesia Associates Northwest LLCGroup PAC ID 7618908484, 80 clinicians

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 Hospital, McMinnville, OR, CCN 380071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
IR.964386OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates Northwest LLC CurrentSince Jan 5, 2026 Accepting new patients
Anesthesia Associates of Lima Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 31, 2022 Accepting new patients
Anesthesia Consultants of Fairbanks LLC CurrentSince Aug 11, 2025 Accepting new patients
Columbia Lutheran Charities CurrentSince Jan 20, 2025 Accepting new patients
Columbia Lutheran Charities CurrentSince Jan 20, 2025 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Sep 12, 2022 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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.

Verify at the official NPI Registry.