Active NPI
Loretta Keese, PA
- Physician Assistant
- Fredericksburg, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA04251
- Practice address
- 1308 South Highway 16
Fredericksburg, TX 78624-5058 - Phone
- (830) 997-2181
- Fax
- (830) 997-9598
- NPI assigned
- Jul 19, 2006
- Last updated
- Apr 4, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA04251 | TX | Primary |
Addresses
Primary practice location
1308 South Highway 16
Fredericksburg, TX 78624-5058
Mailing address
1308 South Highway 16
Fredericksburg, TX 78624-5058
Phone (830) 997-2181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210476201 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.51 of 100
- Quality
- 80.41
- Improvement activities
- 40
- Cost
- 64.5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Gulf Coast PLLC | Current | Accepting new patients | |
| Privia Medical Group Gulf Coast, PLLC | Current | Accepting new patients |
Locations
646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001
1200 Binz St
Ste 1490
Houston, TX 77004
Phone (713) 512-7027
7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027
220 Wesley Dr
Kerrville, TX 78028
Phone (830) 896-4711
10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500
17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820
Interoperability endpoints
- loretta.keese.1@8042.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Houston, TX
- NPI 1578969465
-
- Family Medicine Physician
- Kerrville, TX
- NPI 1972520302
-
dba Express Pain and Urgent Care
- Interventional Pain Medicine Physician
- San Antonio, TX
- NPI 1457167033
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Hospital Hill Country
- General Acute Care Hospital
- Fredericksburg, TX
- NPI 1376256354
-
dba Kimble Hospital
- Critical Access Hospital
- Junction, TX
- NPI 1164688495
-
dba Peterson Home Care
- Home Health Agency
- Kerrville, TX
- NPI 1073582656
-
dba Peterson Regional Medical Center
- Rural Acute Care Hospital
- Kerrville, TX
- NPI 1790782704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301875200000",
"number": "1790704963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 SOUTH HIGHWAY 16",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786245058",
"telephone_number": "830-997-2181",
"fax_number": "830-997-9598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 SOUTH HIGHWAY 16",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786245058",
"telephone_number": "830-997-2181",
"fax_number": "830-997-9598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEESE",
"first_name": "LORETTA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2011-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA04251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "210476201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.