MR. JAMES DAVID KILLEEN III M.D.
NPI 1003100579
Pediatrics in Fontana, CA

Q: What is James Killeen's NPI number?

The NPI number for James Killeen is 1003100579. It was assigned to this individual provider in the NPPES registry on June 2, 2011.

Q: What is James Killeen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for James Killeen was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 02, 2011PECOS Enrolled

9961 SIERRA AVE, KAISER PERMANENTE FONTANA - PEDIATRICS, FONTANA, CA 92335(909) 427-6960 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2021, Aug 27, 2019 (2 updates tracked since 2019).

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About Mr. James David Killeen Iii M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JAMES DAVID KILLEEN III M.D. (NPI 1003100579) is an individual pediatrics provider in Fontana, California, licensed in California (A126081) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003100579

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameMR. JAMES DAVID KILLEEN IIICredential: M.D.

Location Address9961 SIERRA AVE, KAISER PERMANENTE FONTANA - PEDIATRICSFontana, CA 92335-6720

Mailing Address393 E Walnut St, Phr Group Provider Enrollment Unit 3rd FlPasadena, CA 91188-0001 · (877) 608-0044 · Fax (877) 514-0903

Phone(909) 427-6960

Sole ProprietorNo

Enumeration DateJune 2, 2011

Last NPPES UpdateDecember 3, 20212 updates tracked since enumeration

✔ NPI 1003100579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A126081

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

9961 SIERRA AVE, Fontana, CA 92335

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. James David Killeen Iii M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92335 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHEILA ANN VANALLEN PT

Physical Therapist

9961 SIERRA AVE, BUILDING 3A
FONTANA, CA 92335

San Bernardino County (909) 427-7727

MR. DHIRESH N PATEL RPH

Pharmacist