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
- 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
- Code Navigator
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 |
---|---|---|---|
Q34820 | MEDICARE 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.
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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. | |||||||||
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.
JESSICA M. CROSSON MD
Emergency Medicine
275 W MACARTHUR
OAKLAND, CA
ZIP 94611
JEFFREY D. DIEDEN MD
Radiology
(Vascular & Interventional Radiology)
275 W MACARTHUR
OAKLAND, CA
ZIP 94611
DR. ROBERT W. BRINSKO MD
Pathology
(Anatomic Pathology & Clinical Pathology)
275 W MACARTHUR
OAKLAND, CA
ZIP 94611
DR. HERBERT E. HERN JR. MD
Emergency Medicine
275 W MACARTHUR
OAKLAND, CA
ZIP 94611
JOSE AYALA MD
Emergency Medicine
275 W MACARTHUR
OAKLAND, CA
ZIP 94611
ROBERT A. COOPER MD
Internal Medicine
(Interventional Cardiology)
275 W MACARTHUR
OAKLAND, CA
ZIP 94611
MARGARET A. LYNCH MD
Radiology
(Diagnostic Radiology)
275 W MACARTHUR
OAKLAND, CA
ZIP 94611
TERRY J. ANDERSON MD
Internal Medicine
(Cardiovascular Disease)
275 W MACARTHUR
OAKLAND, CA
ZIP 94611
ASHISH V. DESAI MD
Anesthesiology
275 W MACARTHUR
OAKLAND, CA
ZIP 94611
EDMUND CHONG MD
Otolaryngology
275 W MACARTHUR
OAKLAND, CA
ZIP 94611
STANFORD KEN ISHIHARA MD
Emergency Medicine
275 W MACARTHUR
OAKLAND, CA
ZIP 94611
MARTIN K. GON MD
Internal Medicine
(Sports Medicine)
275 W MACARTHUR
OAKLAND, CA
ZIP 94611
JOHN R. LOFTUS MD
Anesthesiology
275 W MACARTHUR
OAKLAND, CA
ZIP 94611
DENNIS S. DURZINSKY MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
275 W MACARTHUR
OAKLAND, CA
ZIP 94611
JAMES P. FAGAN DPM
Podiatrist
275 W MACARTHUR
OAKLAND, CA
ZIP 94611
RAUL M. CRUZ MD
Otolaryngology
275 W MACARTHUR
OAKLAND, CA
ZIP 94611
KIM Y. CHEW MD
Anesthesiology
275 W MACARTHUR
OAKLAND, CA
ZIP 94611
JUDITH C DAMBOWIC PT
Physical Therapist
275 W MACARTHUR
OAKLAND, CA
ZIP 94611
EUGENIE A HSU PHD
Psychologist
275 W MACARTHUR
OAKLAND, CA
ZIP 94611
MS. MAGGIE FILLMORE PT
Physical Therapist
275 W MACARTHUR
OAKLAND, CA
ZIP 94611
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.