Individual provider Active NPI

Elizabeth Keiser, MD, MPH

  • Dermatopathology (Pathology) Physician
  • Meridian, ID
National Provider Identifier
1942696711
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
9271180 Issued in ID
Practice address
1618 S Millenium Way
Meridian, ID 83642-6439
Phone
(208) 884-3376
Fax
(208) 884-0858
NPI assigned
Apr 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X 9271180 ID Primary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X MD61056579 WA
Dermatopathology (Pathology) Physician 207ZD0900X A146294 CA
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X A146294 CA
Dermatopathology (Pathology) Physician 207ZD0900X 61056579 WA

Addresses

Primary practice location

1618 S Millenium Way
Meridian, ID 83642-6439

Mailing address

1618 S Millenium Way
Meridian, ID 83642-6439
Phone (208) 884-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA, ID3 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
I20200709000345 WA Practitioner - Pathology 0749603702 Reassigns benefits to 1 organization
I20220810002884 CA Practitioner - PathologyPractitioner - Dermatology 0749603702
I20260218000595 ID Practitioner - PathologyPractitioner - Dermatology 0749603702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PathologyAlso: Dermatology
Education
University of California, San Diego School of Medicine, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1618 S Millenium Way
Suite 100
Meridian, ID 83642-6457

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A146294CAMDDermatopathology (Pathology) Physician
9271180IDMDDermatopathology (Pathology) Physician
61056579WAMDDermatopathology (Pathology) Physician
MD61056579WAMDClinical Pathology/Laboratory Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Mason Medical Center Current Accepting new patients
Virginia Mason Medical Center Clinical Pathology/Laboratory Medicine CurrentSince Aug 13, 2020 Accepting new patients
Ada West Dermatopathology, LLC CurrentSince Feb 1, 2026 Accepting new patients
Virginia Mason Medical Center CurrentSince Aug 13, 2020 Accepting new patients
Ada West Dermatology, PC CurrentSince Feb 1, 2026 Accepting new patients

Locations

1618 S Millenium Way
Meridian, ID 83642
Phone (208) 377-1969

1618 S Millenium Way
Ste 220
Meridian, ID 83642
Phone (208) 884-3376

1618 S Millenium Way
Ste 100
Meridian, ID 83642
Phone (208) 884-3376

380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980

4575 Sand Point Way NE
Ste 108
Seattle, WA 98105
Phone (206) 525-8000

Interoperability endpoints

  • Direct secure messaging: ekeiser34161@sharphealthcare.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1942696711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 S MILLENIUM WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426439",
            "telephone_number": "208-884-3376",
            "fax_number": "208-884-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 S MILLENIUM WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426439",
            "telephone_number": "208-884-3376",
            "fax_number": "208-884-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEISER",
        "first_name": "ELIZABETH",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-08",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "ID",
            "license": "9271180",
            "primary": true
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "WA",
            "license": "MD61056579",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "CA",
            "license": "A146294",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "CA",
            "license": "A146294",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "WA",
            "license": "61056579",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.