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KEITH ANDREW KAGAHASTIAN EBILANE M.D.
NPI 1225370679
Internal Medicine in Gardena, CA

Active since March 25, 2013PECOS EnrolledAccepts Medicare Assignment
1212 W REDONDO BEACH BLVD, GARDENA, CA 90247(310) 225-2825 Get Directions Write a Review

NPPES record last updated: December 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 13, 2025, Dec 29, 2020, Jun 23, 2016 (3 updates tracked since 2016).

About Keith Andrew Kagahastian Ebilane M.d. NPPES

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

KEITH ANDREW KAGAHASTIAN EBILANE M.D. (NPI 1225370679) is an individual internal medicine provider in Gardena, California, licensed in California (A140101) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1225370679
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKEITH ANDREW KAGAHASTIAN EBILANECredential: M.D.
Location Address1212 W REDONDO BEACH BLVDGardena, CA 90247-3411
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3203
Phone(310) 225-2825
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 25, 2013
Last NPPES UpdateDecember 13, 20253 updates tracked since enumeration
NPPES CertifiedDecember 13, 2025
✔ NPI 1225370679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A140101
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1212 W REDONDO BEACH BLVD, Gardena, CA 90247
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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

Keith Andrew Kagahastian Ebilane M.d. 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 ID7911229000
PECOS Enrollment IDI20160630001901
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
35 services21 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90247 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers14 claims14 services$3.55 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers14 claims14 services$17.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

ARIELLE TUCKER MD
Family Medicine
1212 W REDONDO BEACH BLVD
GARDENA, CA 90247
Los Angeles County (310) 324-2592
ALEXIS CAMILLE MENDOZA
Physician Assistant
1212 W REDONDO BEACH BLVD
GARDENA, CA 90247
Los Angeles County (310) 342-2592
DONG CHANH TRANG D.O., M.P.H
Internal Medicine
1212 W REDONDO BEACH BLVD
GARDENA, CA 90247
Los Angeles County (310) 324-2592

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 Andrew Ebilane's NPI number?

The NPI number for Keith Andrew Ebilane is 1225370679. It was assigned to this individual provider in the NPPES registry on March 25, 2013.

Where is Keith Andrew Ebilane located?

Keith Andrew Ebilane practices at 1212 W Redondo Beach Blvd, Gardena, CA 90247. The listed phone number is (310) 225-2825.

What is Keith Andrew Ebilane's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Keith Andrew Ebilane enrolled in Medicare?

Yes. Keith Andrew Ebilane 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 Keith Andrew Ebilane was last updated on December 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.