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KEATON WARE PA-C
NPI 1104541556
Physician Assistant in Dearborn, MI

Active since October 07, 2022PECOS EnrolledAccepts Medicare Assignment
23455 MICHIGAN AVE, DEARBORN, MI 48124(734) 333-8001 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 14, 2022, Oct 7, 2022 (2 updates tracked since 2022).

About Keaton Ware Pa-c NPPES

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

KEATON WARE PA-C (NPI 1104541556) is an individual physician assistant in Dearborn, Michigan, licensed in Michigan (5601011362) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104541556
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKEATON WARECredential: PA-C
Location Address23455 MICHIGAN AVEDearborn, MI 48124-1908
Mailing Address1301 Orleans St Apt 1905eDetroit, MI 48207-3098 · (989) 600-9668
Phone(734) 333-8001
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 7, 2022
Last NPPES UpdateNovember 14, 20222 updates tracked since enumeration
NPPES CertifiedNovember 2, 2022
✔ NPI 1104541556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601011362
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
23455 MICHIGAN AVE, Dearborn, MI 48124
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Keaton Ware Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315314010
PECOS Enrollment IDI20221109002887
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 48124 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 9

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

ROBY N YOUSIF PA-C
Physician Assistant
23455 MICHIGAN AVE
DEARBORN, MI 48124
Wayne County (734) 333-8001
ALI HASSAN MD
Emergency Medicine
23455 MICHIGAN AVE
DEARBORN, MI 48124
Wayne County (313) 438-6094
FIRST CHOICE PHYSICAL THERAPY SERVICES, PLLC
Clinic/Center (Physical Therapy)
23455 MICHIGAN AVE, STE B
DEARBORN, MI 48124
Wayne County (313) 438-6094
ALI K AYOUB FNP
Nurse Practitioner (Family)
23455 MICHIGAN AVE
DEARBORN, MI 48124
Wayne County (734) 333-8001
LANA CHERRI
Nurse Practitioner
23455 MICHIGAN AVE
DEARBORN, MI 48124
Wayne County (734) 333-8001
DARIA STERP
Physician Assistant
23455 MICHIGAN AVE
DEARBORN, MI 48124
Wayne County (248) 379-7561
FIRST CHOICE URGENT CARE PC
Clinic/Center (Urgent Care)
23455 MICHIGAN AVE, SUITE A
DEARBORN, MI 48124
Wayne County (313) 438-6094
KHRISTINE L TATE M.D.
Family Medicine
23455 MICHIGAN AVE
DEARBORN, MI 48124
Wayne County (313) 438-6094

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 Keaton Ware's NPI number?

The NPI number for Keaton Ware is 1104541556. It was assigned to this individual provider in the NPPES registry on October 7, 2022.

Where is Keaton Ware located?

Keaton Ware practices at 23455 Michigan Ave, Dearborn, MI 48124. The listed phone number is (734) 333-8001.

What is Keaton Ware's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Keaton Ware enrolled in Medicare?

Yes. Keaton Ware is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Keaton Ware was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.