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

NPI Status: Active since December 13, 2006

Contact Information

275 W MACARTHUR
OAKLAND, CA
ZIP 94611
Phone: (510) 752-1000

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  • Individual
  • Male
  • Nurse Practitioner
  • PECOS Enrolled

About KEITH THIBAULT

This page provides the complete NPI Profile along with additional information for Keith Thibault, a provider established in Oakland, California with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1013078674 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 11 years ago.

NPI
1013078674
Provider Name
MR. KEITH M. THIBAULT NP
Gender
Male
Entity Type
Individual
Location Address
275 W MACARTHUR OAKLAND, CA 94611
Location Phone
(510) 752-1000
Mailing Address
275 W MACARTHUR OAKLAND, CA 94611
Mailing Phone
(510) 752-1000
Is Sole Proprietor?
No
Enumeration Date
12-13-2006
Last Update Date
11-14-2014
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A nurse practitioner (NP) like Keith Thibault 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.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

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

Medicare Participation & PECOS Enrollment Status

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: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 94611 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $104.51
  • Minimum New Patient Price $69
  • Maximum New Patient Price $202.35
  • Average New Patient Copayment $26.12
  • Minimum New Patient Copayment $17.25
  • Maximum New Patient Copayment $50.58

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $119.48
  • Minimum Established Patient Price $23.44
  • Maximum Established Patient Price $166.46
  • Average Established Patient Copayment $29.87
  • Minimum Established Patient Copayment $5.86
  • Maximum Established Patient Copayment $41.61

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MR. KEITH M. THIBAULT NP

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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.

JESSICA M. CROSSON MD

Emergency Medicine

275 W MACARTHUR
OAKLAND, CA
ZIP 94611

(510) 752-1000

JEFFREY D. DIEDEN MD

Radiology

(Vascular & Interventional Radiology)

275 W MACARTHUR
OAKLAND, CA
ZIP 94611

(510) 752-1000

DR. ROBERT W. BRINSKO MD

Pathology

(Anatomic Pathology & Clinical Pathology)

275 W MACARTHUR
OAKLAND, CA
ZIP 94611

(510) 752-1000

DR. HERBERT E. HERN JR. MD

Emergency Medicine

275 W MACARTHUR
OAKLAND, CA
ZIP 94611

(510) 752-1000

JOSE AYALA MD

Emergency Medicine

275 W MACARTHUR
OAKLAND, CA
ZIP 94611

(510) 752-1000

ROBERT A. COOPER MD

Internal Medicine

(Interventional Cardiology)

275 W MACARTHUR
OAKLAND, CA
ZIP 94611

(510) 752-1000

MARGARET A. LYNCH MD

Radiology

(Diagnostic Radiology)

275 W MACARTHUR
OAKLAND, CA
ZIP 94611

(510) 752-1000

TERRY J. ANDERSON MD

Internal Medicine

(Cardiovascular Disease)

275 W MACARTHUR
OAKLAND, CA
ZIP 94611

(510) 752-1000

ASHISH V. DESAI MD

Anesthesiology

275 W MACARTHUR
OAKLAND, CA
ZIP 94611

(510) 752-1000

EDMUND CHONG MD

Otolaryngology

275 W MACARTHUR
OAKLAND, CA
ZIP 94611

(510) 752-1000

STANFORD KEN ISHIHARA MD

Emergency Medicine

275 W MACARTHUR
OAKLAND, CA
ZIP 94611

(510) 752-1000

MARTIN K. GON MD

Internal Medicine

(Sports Medicine)

275 W MACARTHUR
OAKLAND, CA
ZIP 94611

(510) 752-1000

JOHN R. LOFTUS MD

Anesthesiology

275 W MACARTHUR
OAKLAND, CA
ZIP 94611

(510) 752-1000

DENNIS S. DURZINSKY MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

275 W MACARTHUR
OAKLAND, CA
ZIP 94611

(510) 752-1000

JAMES P. FAGAN DPM

Podiatrist

275 W MACARTHUR
OAKLAND, CA
ZIP 94611

(510) 752-1000

RAUL M. CRUZ MD

Otolaryngology

275 W MACARTHUR
OAKLAND, CA
ZIP 94611

(510) 752-1000

KIM Y. CHEW MD

Anesthesiology

275 W MACARTHUR
OAKLAND, CA
ZIP 94611

(510) 752-1000

JUDITH C DAMBOWIC PT

Physical Therapist

275 W MACARTHUR
OAKLAND, CA
ZIP 94611

(510) 752-1000

EUGENIE A HSU PHD

Psychologist

275 W MACARTHUR
OAKLAND, CA
ZIP 94611

(510) 752-1000

MS. MAGGIE FILLMORE PT

Physical Therapist

275 W MACARTHUR
OAKLAND, CA
ZIP 94611

(510) 752-1000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013078674, enumerated in the NPI registry as an "individual" on December 13, 2006

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

The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X

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

Yes, as of July 06, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $104.51 with an average copayment of $26.12 for new patient appointments. Established patients should expect a typical charge of $119.48 and an average copayment of 29.87. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record 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.