KEITH UYEMURA OD
NPI 1497641096
Optometrist in Berkeley, CA
About Keith Uyemura Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEITH UYEMURA OD (NPI 1497641096) is an individual optometrist in Berkeley, California, licensed in California (36012) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Keith Uyemura Od 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.
Medicare Billing Reassignment
Medicare enrollment records show Keith Uyemura reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Berkeley, CA 94720
- Reassigned Medicare billing, California enrollment
- 96 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BERKELEY, CA 94720
BERKELEY, CA 94720
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 Uyemura's NPI number?
The NPI number for Keith Uyemura is 1497641096. It was assigned to this individual provider in the NPPES registry on June 18, 2025.
Where is Keith Uyemura located?
Keith Uyemura practices at 200 Minor Hall, Berkeley, CA 94720. The listed phone number is (510) 642-2020.
What is Keith Uyemura's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Keith Uyemura enrolled in Medicare?
Yes. Keith Uyemura 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.
Which organization bills Medicare for Keith Uyemura's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keith Uyemura reassigns Medicare benefits to Regents Of The University Of California At Berkeley (Berkeley, 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 Keith Uyemura's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Keith Uyemura accept?
Health plans from Providence Health Plan list Keith Uyemura as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Keith Uyemura was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Keith Uyemura, OD · NPI 1497641096
Optometrist provider in Berkeley, California. Individual provider, active in the CMS NPPES registry since June 18, 2025.
## Identity
- **NPI:** 1497641096 (Entity type: Individual)
- **Enumerated:** June 18, 2025
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 36012 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 MINOR HALL, Berkeley, CA 94720-0001
- **Phone:** (510) 642-2020
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Regents Of The University Of California At Berkeley (NPI 1306908058, Berkeley, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California - School Of Optometry, class of 2025
## Record status
- **NPPES last updated:** June 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1497641096) · Data from the CMS NPPES public registry.