JACOB STEPHEN KEITH MD
NPI 1629834403
General Practice in Tacoma, WA
- Individual
- Male
- General Practice
- PECOS Enrolled
About JACOB KEITH
This page provides the complete NPI Profile along with additional information for Jacob Keith, a primary care provider established in Tacoma, Washington with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1629834403 assigned on February 2024. The practitioner's primary taxonomy code is 208D00000X with license number 0101287930 (VA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1629834403 Verify this NPI
- Provider Name
- JACOB STEPHEN KEITH MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 9040 JACKSON AVE TACOMA, WA 98431
- Location Phone
- (253) 968-0117
- Mailing Address
- 9040 JACKSON AVE TACOMA, WA 98431
- Mailing Phone
- (253) 968-0117
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-28-2024
- Last Update Date
- 12-11-2025
- Code Navigator
A primary care provider (PCP) like Jacob Keith sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0101287930
- License State
- VA
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Medicare Participation & PECOS Enrollment Status
Jacob Keith is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629834403, enumerated as an "individual" on February 28, 2024.
The provider is located at 9040 JACKSON AVE TACOMA, WA 98431 and the phone number is (253) 968-0117.
General Practice with taxonomy code 208D00000X.
