KEITH CAMERON CARLSON MD
NPI 1093749640
Dermatology in Bellevue, WA

Active since July 10, 2006PECOS Enrolled
11511 NE 10TH ST, BELLEVUE, WA 98004(425) 502-3000 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 31, 2021, Jan 28, 2017 (2 updates tracked since 2017).

About Keith Cameron Carlson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH CAMERON CARLSON MD (NPI 1093749640) is an individual dermatology provider in Bellevue, Washington, licensed in Washington (MD60650552) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1093749640
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameKEITH CAMERON CARLSONCredential: MD
Location Address11511 NE 10TH STBellevue, WA 98004-8578
Mailing Address11511 Ne 10th St, Bellevue Medical CenterBellevue, WA 98004 · (425) 502-3000 · Fax (425) 502-3589
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateMarch 31, 20212 updates tracked since enumeration
NPPES CertifiedMarch 31, 2021
NPI 1093749640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in WA · MD60650552
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

11511 NE 10TH ST, Bellevue, WA 98004

Secondary Practice Location 1

Location 1200 medical plaza, #450los angeles, CA 90095 · Phone (310) 825-0631

Other Identifiers 1

Other00G501320CA · Medical Ppin #

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 Cameron Carlson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
11511 NE 10TH ST, MAILSTOP W464
BELLEVUE, WA 98004
Physician Assistant
11511 NE 10TH ST
BELLEVUE, WA 98004
Nurse Anesthetist, Certified Registered
11511 NE 10TH ST
BELLEVUE, WA 98004
Audiologist
11511 NE 10TH ST
BELLEVUE, WA 98004
Pharmacist
11511 NE 10TH ST
BELLEVUE, WA 98004
Physician Assistant (Medical)
11511 NE 10TH ST
BELLEVUE, WA 98004
Case Manager/Care Coordinator
11511 NE 10TH ST
BELLEVUE, WA 98004
Physician Assistant (Medical)
11511 NE 10TH ST, ORTHOPEDICS
BELLEVUE, WA 98004

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093749640, enumerated as an "individual" on July 10, 2006.

The provider is located at 11511 NE 10TH ST BELLEVUE, WA 98004 and the phone number is (425) 502-3000.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.