MR. KEITH M. THIBAULT NP NPI 1013078674
Nurse Practitioner in Oakland, CA

About MR. KEITH M. THIBAULT NP

Keith Thibault is a provider established in Oakland, California and his medical specialization is Nurse Practitioner. The NPI number of Keith Thibault is 1013078674 and was assigned on December 2006. The practitioner's primary taxonomy code is 363L00000X with license number 5122 (CA). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1013078674
Provider NameMR. KEITH M. THIBAULT NP
Location Address275 W MACARTHUR OAKLAND, CA 94611
Location Phone(510) 752-1000
Mailing Address275 W MACARTHUR OAKLAND, CA 94611
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date12-13-2006
Last Update Date11-14-2014

A nurse practitioner (NP) like Mr. Keith M. Thibault Np is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.Keith Thibault is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code363L00000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.5122
License StateCA
Taxonomy Description(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

MR. KEITH M. THIBAULT NP
275 W MACARTHUR
OAKLAND, CA
ZIP 94611
Phone: (510) 752-1000

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Mailing Address

MR. KEITH M. THIBAULT NP
275 W MACARTHUR
OAKLAND, CA
ZIP 94611
Phone: (510) 752-1000


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
Q34820MEDICARE UPIN (02)CA

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013078674
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20230716614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 7 + 1 + 6 + 6 + 1 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1013078674 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649358425 JESSICA M. CROSSON MD
Individual
Emergency Medicine275 W MACARTHUR
OAKLAND, CA 94611
(510) 752-1000
1922186717 JEFFREY D. DIEDEN MD
Individual
Radiology (Vascular & Interventional Radiology)275 W MACARTHUR
OAKLAND, CA 94611
(510) 752-1000
1629070107DR. ROBERT W. BRINSKO MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)275 W MACARTHUR
OAKLAND, CA 94611
(510) 752-1000
1154303121DR. HERBERT E. HERN JR. MD
Individual
Emergency Medicine275 W MACARTHUR
OAKLAND, CA 94611
(510) 752-1000
1083792881 JOSE AYALA MD
Individual
Emergency Medicine275 W MACARTHUR
OAKLAND, CA 94611
(510) 752-1000
1295813079 ROBERT A. COOPER MD
Individual
Internal Medicine (Interventional Cardiology)275 W MACARTHUR
OAKLAND, CA 94611
(510) 752-1000
1730267519 MARGARET A. LYNCH MD
Individual
Radiology (Diagnostic Radiology)275 W MACARTHUR
OAKLAND, CA 94611
(510) 752-1000
1912085705 TERRY J. ANDERSON MD
Individual
Internal Medicine (Cardiovascular Disease)275 W MACARTHUR
OAKLAND, CA 94611
(510) 752-1000
1780762286 ASHISH V. DESAI MD
Individual
Anesthesiology275 W MACARTHUR
OAKLAND, CA 94611
(510) 752-1000
1730267899 EDMUND CHONG MD
Individual
Otolaryngology275 W MACARTHUR
OAKLAND, CA 94611
(510) 752-1000
1396824439 STANFORD KEN ISHIHARA MD
Individual
Emergency Medicine275 W MACARTHUR
OAKLAND, CA 94611
(510) 752-1000
1831278985 MARTIN K. GON MD
Individual
Internal Medicine (Sports Medicine)275 W MACARTHUR
OAKLAND, CA 94611
(510) 752-1000
1144308925 JOHN R. LOFTUS MD
Individual
Anesthesiology275 W MACARTHUR
OAKLAND, CA 94611
(510) 752-1000
1346328135 DENNIS S. DURZINSKY MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)275 W MACARTHUR
OAKLAND, CA 94611
(510) 752-1000
1811075617 JAMES P. FAGAN DPM
Individual
Podiatrist275 W MACARTHUR
OAKLAND, CA 94611
(510) 752-1000
1053499855 RAUL M. CRUZ MD
Individual
Otolaryngology275 W MACARTHUR
OAKLAND, CA 94611
(510) 752-1000
1750469540 KIM Y. CHEW MD
Individual
Anesthesiology275 W MACARTHUR
OAKLAND, CA 94611
(510) 752-1000
1659449569 JUDITH C DAMBOWIC PT
Individual
Physical Therapist275 W MACARTHUR
OAKLAND, CA 94611
(510) 752-1000
1578627907 EUGENIE A HSU PHD
Individual
Psychologist275 W MACARTHUR
OAKLAND, CA 94611
(510) 752-1000
1245394006MS. MAGGIE FILLMORE PT
Individual
Physical Therapist275 W MACARTHUR
OAKLAND, CA 94611
(510) 752-1000

Frequently Asked Questions

What is Mr. Keith Thibault NP NPI number?

The NPI number assigned to Mr. Keith Thibault NP is 1013078674, registered as an "individual" on December 13, 2006

Where is Mr. Keith Thibault NP located?

The provider is located at 275 W Macarthur Oakland, Ca 94611 and the phone number is (510) 752-1000

Which is Mr. Keith Thibault NP specialty?

The provider's speciality is Nurse Practitioner

What insurance does Mr. Keith Thibault NP accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Mr. Keith Thibault NP registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Mr. Keith Thibault NP?

Medicare beneficiaries should expect a typical cost of $106.04 with an average copayment of $26.51 for new patient appointments. Established patients should expect a typical charge of $122.57 and an average copayment of 30.64. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of Mr. Keith Thibault NP was last updated on December 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]