KEITH SAMUEL HANSEN M.D.
NPI 1083076608
Student in an Organized Health Care Education/Training Program in San Francisco, CA
About Keith Samuel Hansen M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEITH SAMUEL HANSEN M.D. (NPI 1083076608) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keith Samuel Hansen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Keith Hansen's NPI number?
The NPI number for Keith Hansen is 1083076608. It was assigned to this individual provider in the NPPES registry on March 23, 2016.
Where is Keith Hansen located?
Keith Hansen practices at 513 Parnassus Ave S-321, San Francisco, CA 94143. The listed phone number is (415) 476-1239.
What is Keith Hansen's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Keith Hansen enrolled in Medicare?
Yes. Keith Hansen is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Keith Hansen was last updated on February 11, 2022. 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.
# Keith Samuel Hansen, M.D. · NPI 1083076608
Student in an Organized Health Care Education/Training Program provider in San Francisco, California. Individual provider, active in the CMS NPPES registry since March 23, 2016.
## Identity
- **NPI:** 1083076608 (Entity type: Individual)
- **Enumerated:** March 23, 2016
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 513 PARNASSUS AVE, S-321, San Francisco, CA 94143-2205
- **Phone:** (415) 476-1239
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1083076608) · Data from the CMS NPPES public registry.