KENNETH DEAVER MD
NPI 1649632878
Hospitalist in Amite, LA
About Kenneth Deaver Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH DEAVER MD (NPI 1649632878) is an individual hospitalist provider in Amite, Louisiana, licensed in California (167908) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bogalusa, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Kenneth Deaver Md 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 Reassignments
4Medicare enrollment records show Kenneth Deaver reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Metairie, LA 70001
- Reassigned Medicare billing, Louisiana enrollment
- 176 clinicians in this Medicare group
San Diego, CA 92120
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Redlands, CA 92373
- Reassigned Medicare billing, California enrollment
- 635 clinicians in this Medicare group
Bakersfield, CA 93301
- Reassigned Medicare billing, California enrollment
- 163 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 70422 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kenneth Deaver's NPI number?
The NPI number for Kenneth Deaver is 1649632878. It was assigned to this individual provider in the NPPES registry on March 26, 2016.
Where is Kenneth Deaver located?
Kenneth Deaver practices at 301 Walnut St, Amite, LA 70422. The listed phone number is (985) 748-9485.
What is Kenneth Deaver's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Kenneth Deaver enrolled in Medicare?
Yes. Kenneth Deaver 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 organizations bill Medicare for Kenneth Deaver's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Deaver reassigns Medicare benefits to 4 organizations: C & M Medical Services, Inc. (Metairie, LA), Southern California Permanente Medical Group (San Diego, CA), Beaver Medical Group P C (Redlands, CA) and Grand Avenue Emergency Physicians Medical Group Inc (Bakersfield, CA). Each 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 Kenneth Deaver's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kenneth Deaver was last updated on November 29, 2021. 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.
# Kenneth Deaver, MD · NPI 1649632878
Hospitalist physician in Amite, Louisiana. Individual provider, active in the CMS NPPES registry since March 26, 2016.
## Identity
- **NPI:** 1649632878 (Entity type: Individual)
- **Enumerated:** March 26, 2016
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 167908 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 WALNUT ST, Amite, LA 70422-2025
- **Phone:** (985) 748-9485
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): C & M Medical Services, Inc. (NPI 1710903059, Metairie, LA); Southern California Permanente Medical Group (NPI 1225060742, San Diego, CA); Beaver Medical Group P C (NPI 1649503319, Redlands, CA); Grand Avenue Emergency Physicians Medical Group Inc (NPI 1962913632, Bakersfield, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** November 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1649632878) · Data from the CMS NPPES public registry.