Active NPI
Kevin Correll Keith, MD, MPH
- Pediatrics Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD61331159
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- 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 Hospital
Practice addresses (Care Compare)
621 3Rd St S
Glasgow, MT 59230-2604
Phone (406) 228-3500
Hospital & facility affiliations
- Aspen Valley Hospital District
- Frances Mahon Deaconess Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61331159 | WA | MD | General Practice Physician |
| 81422 | MN | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Peter'S Health | Current | Accepting new patients | |
| Seattle Children'S Hospital | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| St. Peter'S Health | Current | Accepting new patients | |
| Seattle Childrens Hospital | Current | Accepting new patients | |
| Seattle Children'S Hospital | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Providence Health & Services Washington | Current | Accepting new patients | |
| St Peters Hospital | Current | 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
- kkeith200311@direct.seattlechildrens.org
- 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.
-
- Pulmonary Disease Physician
- Spokane, WA
- NPI 1194099390
-
- Specialist
- Seattle, WA
- NPI 1003319500
-
- General Acute Care Hospital
- Helena, MT
- NPI 1205025145
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
-
- Emergency Medicine Physician
- Glasgow, MT
- NPI 1639117013
-
- Family Medicine Physician
- Kelliher, MN
- NPI 1770849697
-
- Children's Hospital
- Seattle, WA
- NPI 1467536276
-
- Clinic Pharmacy
- Seattle, WA
- NPI 1245342153
-
- Eyewear Supplier
- International Falls, MN
- NPI 1013334457
-
- Internal Medicine Physician
- Bemidji, MN
- NPI 1780628149
-
- Oncology Clinic/Center
- Helena, MT
- NPI 1710152277
-
- Radiology Clinic/Center
- Butte, MT
- NPI 1194785154
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Aspen, CO
- NPI 1518960814
-
- Durable Medical Equipment & Medical Supplies
- Aspen, CO
- NPI 1942357363
Hospital
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.