ELAINA KETH
NPI 1245080522
Student in an Organized Health Care Education/Training Program in Oakland, CA
About Elaina Keth NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELAINA KETH (NPI 1245080522) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since March 2024.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elaina Keth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Elaina Keth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Richmond, CA 94801
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Elaina Keth's NPI number?
The NPI number for Elaina Keth is 1245080522. It was assigned to this individual provider in the NPPES registry on March 27, 2024.
Where is Elaina Keth located?
Elaina Keth practices at 3751 Broadway Ste B, Oakland, CA 94611. The listed phone number is (510) 752-8330.
What is Elaina Keth's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Elaina Keth enrolled in Medicare?
Yes. Elaina Keth is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Elaina Keth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elaina Keth reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elaina Keth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Elaina Keth was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Elaina Keth · NPI 1245080522
Student in an Organized Health Care Education/Training Program provider in Oakland, California. Individual provider, active in the CMS NPPES registry since March 27, 2024.
## Identity
- **NPI:** 1245080522 (Entity type: Individual)
- **Enumerated:** March 27, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3751 BROADWAY STE B, Oakland, CA 94611-5613
- **Phone:** (510) 752-8330
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1235226531, Richmond, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1245080522) · Data from the CMS NPPES public registry.