MR. KEITH L RADACK DR.
NPI 1609915412
Dentist - Oral and Maxillofacial Surgery in Burbank, CA
About Mr. Keith L Radack Dr. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KEITH L RADACK DR. (NPI 1609915412) is an individual oral and maxillofacial surgery provider in Burbank, California, licensed in California (D23024) and active in the NPI registry since February 2007. He has opted out of Medicare through March 17, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mr. Keith L Radack Dr. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 17, 2014 through March 17, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91505 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.
BURBANK, CA 91505
BURBANK, CA 91505
BURBANK, CA 91505
BURBANK, CA 91505
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 Radack's NPI number?
The NPI number for Keith Radack is 1609915412. It was assigned to this individual provider in the NPPES registry on February 6, 2007.
Where is Keith Radack located?
Keith Radack practices at 2625 W Alameda Ave Suite 200, Burbank, CA 91505. The listed phone number is (818) 845-2616.
What is Keith Radack's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Keith Radack enrolled in Medicare?
No. Keith Radack has opted out of Medicare through March 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Keith Radack accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Keith Radack 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 Radack was last updated on October 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mr. Keith L Radack, DR. · NPI 1609915412
Oral and Maxillofacial Surgery provider in Burbank, California. Individual provider, active in the CMS NPPES registry since February 6, 2007.
## Identity
- **NPI:** 1609915412 (Entity type: Individual)
- **Enumerated:** February 6, 2007
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** D23024 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2625 W ALAMEDA AVE, SUITE 200, Burbank, CA 91505
- **Phone:** (818) 845-2616 · **Fax:** (818) 845-3359
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 17, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** October 25, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1609915412) · Data from the CMS NPPES public registry.