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 Name | MR. KEITH M. THIBAULT NP |
| Location Address | 275 W MACARTHUR OAKLAND, CA 94611 |
| Location Phone | (510) 752-1000 |
| Mailing Address | 275 W MACARTHUR OAKLAND, CA 94611 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Enumeration Date | 12-13-2006 |
| Last Update Date | 11-14-2014 |
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 Code | 363L00000X |
| Classification | Nurse Practitioner |
| Type | Physician Assistants & Advanced Practice Nursing Providers |
| License No. | 5122 |
| License State | CA |
| 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
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 Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
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 |
|---|---|---|
| Q34820 | MEDICARE 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. | |||||||||
| 1 | 0 | 1 | 3 | 0 | 7 | 8 | 6 | 7 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 2 | 3 | 0 | 7 | 16 | 6 | 14 | |
| 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 = 4 | 4 | ||||||||
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 Medicine | 275 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 |
| 1629070107 | DR. ROBERT W. BRINSKO MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 275 W MACARTHUR OAKLAND, CA 94611 (510) 752-1000 |
| 1154303121 | DR. HERBERT E. HERN JR. MD Individual | Emergency Medicine | 275 W MACARTHUR OAKLAND, CA 94611 (510) 752-1000 |
| 1083792881 | JOSE AYALA MD Individual | Emergency Medicine | 275 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 | Anesthesiology | 275 W MACARTHUR OAKLAND, CA 94611 (510) 752-1000 |
| 1730267899 | EDMUND CHONG MD Individual | Otolaryngology | 275 W MACARTHUR OAKLAND, CA 94611 (510) 752-1000 |
| 1396824439 | STANFORD KEN ISHIHARA MD Individual | Emergency Medicine | 275 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 | Anesthesiology | 275 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 | Podiatrist | 275 W MACARTHUR OAKLAND, CA 94611 (510) 752-1000 |
| 1053499855 | RAUL M. CRUZ MD Individual | Otolaryngology | 275 W MACARTHUR OAKLAND, CA 94611 (510) 752-1000 |
| 1750469540 | KIM Y. CHEW MD Individual | Anesthesiology | 275 W MACARTHUR OAKLAND, CA 94611 (510) 752-1000 |
| 1659449569 | JUDITH C DAMBOWIC PT Individual | Physical Therapist | 275 W MACARTHUR OAKLAND, CA 94611 (510) 752-1000 |
| 1578627907 | EUGENIE A HSU PHD Individual | Psychologist | 275 W MACARTHUR OAKLAND, CA 94611 (510) 752-1000 |
| 1245394006 | MS. MAGGIE FILLMORE PT Individual | Physical Therapist | 275 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]