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KEITH A ALLEN MBCHBBAO
NPI 1649470204
Emergency Medicine in Apple Valley, MN

Active since July 23, 2007PECOS Enrolled
15746 FREMONT WAY, APPLE VALLEY, MN 55124(715) 205-6789 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keith A Allen Mbchbbao NPPES

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

KEITH A ALLEN MBCHBBAO (NPI 1649470204) is an individual emergency medicine provider in Apple Valley, Minnesota, licensed in Wisconsin (54561-20) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jerseyville.

NPPES Registry Identity

NPI1649470204
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameKEITH A ALLENCredential: MBCHBBAO
Location Address15746 FREMONT WAYApple Valley, MN 55124-6531
Mailing Address1700 W Stout StRice Lake, WI 54868-5000 · (715) 234-1515
Phone(715) 205-6789
Sole ProprietorNo
Enumeration DateJuly 23, 2007
Last NPPES UpdateMarch 18, 2022
NPPES CertifiedMarch 18, 2022
✔ NPI 1649470204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in WI · 54561-20✔ Licensed in MN · 51841✔ Licensed in IL · 036159388
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
15746 FREMONT WAY, Apple Valley, MN 55124
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Secondary Practice Location 1

Location 1400 Maple Summit RdJerseyville, IL 62052-2028 · Phone (618) 498-6402 · Fax (618) 498-8411

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith A Allen Mbchbbao is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Allen's NPI number?

The NPI number for Keith Allen is 1649470204. It was assigned to this individual provider in the NPPES registry on July 23, 2007.

Where is Keith Allen located?

Keith Allen practices at 15746 Fremont Way, Apple Valley, MN 55124. The listed phone number is (715) 205-6789.

What is Keith Allen's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Keith Allen enrolled in Medicare?

Yes. Keith Allen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keith Allen was last updated on March 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.