DBA NEW ERA FAMILY PRACTICE
NPI 1417181348
Family Medicine - Geriatric Medicine in Sierra Vista, AZ

Active since May 06, 2009
126 S CORONADO DR STE B, SIERRA VISTA, AZ 85635(520) 439-0115(520) 458-3016 Get Directions Write a Review

NPPES record last updated: September 4, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dba New Era Family Practice NPPES

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

DBA NEW ERA FAMILY PRACTICE (NPI 1417181348) is a healthcare organization registered as a geriatric medicine in Sierra Vista, Arizona and active in the NPI registry since May 2009. The organization maintains a secondary practice location in Sierra Vista and lists Parag R Patel, Director, as its authorized official.

NPPES Registry Identity

NPI1417181348
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameKEYAMED, INC A P C
Location Address126 S CORONADO DR STE BSierra Vista, AZ 85635-6300
Mailing AddressPo Box 2186Sierra Vista, AZ 85636-2186 · (520) 439-0115 · Fax (520) 458-3016
Fax(520) 458-3016
Organization SubpartYesParent: Keyamed Inc A P C
Authorized OfficialParag R PatelDirector · (909) 362-4958
Enumeration DateMay 6, 2009
Last NPPES UpdateSeptember 4, 2021
NPPES CertifiedSeptember 4, 2021
✔ NPI 1417181348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
126 S CORONADO DR STE B, Sierra Vista, AZ 85635

Other Names 1

Doing Business AsDba New Era Family Practice

Secondary Practice Location 1

Location 1198 S Coronado Drive, Suite BSierra Vista, AZ 85635 · Phone (520) 439-0115 · Fax (520) 458-3016

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dba New Era Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20090604000197Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dba New Era Family Practice, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1215121512
126 S CORONADO DR SUITE B
Sierra Vista, AZ 85635
(520) 439-0115
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Keyamed, Inc A P C's NPI number?

The NPI number for Keyamed, Inc A P C is 1417181348. It was assigned to this organization in the NPPES registry on May 6, 2009. The provider is doing business as Dba New Era Family Practice.

Where is Keyamed, Inc A P C located?

Keyamed, Inc A P C is located at 126 S Coronado Dr Ste B, Sierra Vista, AZ 85635. The listed phone number is (520) 439-0115.

What is Keyamed, Inc A P C's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Keyamed, Inc A P C enrolled in Medicare?

Yes. Keyamed, Inc A P C is registered in the Medicare PECOS enrollment system.

When is Keyamed, Inc A P C's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Keyamed, Inc A P C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Keyamed, Inc A P C. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Keyamed, Inc A P C was last updated on September 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.