Individual provider Active NPI

Kevin Correll Keith, MD, MPH

  • Pediatrics Physician
  • Seattle, WA
National Provider Identifier
1851955892
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD61331159 Issued in WA
Practice address
1829 24TH Ave Unit B
Seattle, WA 98122-3014
Phone
(919) 684-2356
NPI assigned
Apr 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 61331159 WA
Hospitalist Physician 208M00000X 81422 MN
Hospitalist Physician 208M00000X 341134 NY
Pediatrics Physician 208000000X MD61331159 WA Primary

Addresses

Primary practice location

1829 24TH Ave Unit B
Seattle, WA 98122-3014

Mailing address

PO Box 421
Liberty Lake, WA 99019-0421
Phone (866) 747-2455

Other practice location 1

1 Gustave L Levy Pl
New York, NY 10029-6504
Phone (212) 241-1653

Other practice location 2

101 W 8th Ave Fl 3
Spokane, WA 99204-2307
Phone (509) 474-2847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MT, MN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20221024001426 WA Practitioner - Pediatric MedicinePractitioner - General Practice 0042607327 Reassigns benefits to 2 organizations
I20241112003191 MT Practitioner - Pediatric MedicinePractitioner - General Practice 0042607327 Reassigns benefits to 3 organizations
I20260107003553 MN Practitioner - Pediatric MedicinePractitioner - Hospitalist 0042607327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: General Practice
Education
Medical University of South Carolina College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frances Mahon Deaconess HospitalGroup PAC ID 3173430949, shared by 5 NPIs, 38 clinicians

Practice addresses (Care Compare)

621 3Rd St S
Glasgow, MT 59230-2604
Phone (406) 228-3500

Hospital & facility affiliations

  • Aspen Valley Hospital District Hospital, Aspen, CO, CCN 061324
  • Frances Mahon Deaconess Hospital Hospital, Glasgow, MT, CCN 271316

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61331159WAMDGeneral Practice Physician
81422MNMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Peter'S Health Current Accepting new patients
Seattle Children'S Hospital Current Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Dec 28, 2025 Accepting new patients
St. Peter'S Health CurrentSince Nov 22, 2024 Accepting new patients
Seattle Childrens Hospital CurrentSince Sep 10, 2022 Accepting new patients
Seattle Children'S Hospital CurrentSince Sep 10, 2022 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Dec 28, 2025 Accepting new patients
Providence Health & Services Washington CurrentSince Oct 1, 2024 Accepting new patients
St Peters Hospital CurrentSince Nov 22, 2024 Accepting new patients
Providence Health & Services - Wa Past Accepting new patients
St. Peter'S Health Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Seattle Children'S Hospital Past Accepting new patients

Locations

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100

101 W 8th Ave
Fl 3
Spokane, WA 99204
Phone (509) 474-2277

Interoperability endpoints

  • Direct secure messaging: kkeith200311@direct.seattlechildrens.org
  • Direct secure messaging: kkeith253746@directhisp.wakemed.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

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": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1851955892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190421",
            "telephone_number": "866-747-2455",
            "fax_number": "509-227-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 24TH AVE UNIT B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981223014",
            "telephone_number": "919-684-2356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296504",
            "country_code": "US",
            "telephone_number": "212-241-1653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W 8th Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042307",
            "country_code": "US",
            "telephone_number": "509-474-2847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEITH",
        "first_name": "KEVIN",
        "middle_name": "CORRELL",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-25",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "61331159",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MN",
            "license": "81422",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "341134",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD61331159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.