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KEITH EDWARD BLACKWELL MD
NPI 1669496964
Otolaryngology in Los Angeles, CA

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
86.26/100
CMS Quality Rating
200 MEDICAL PLZ, #550, LOS ANGELES, CA 90095(310) 206-6688 Get Directions Write a Review

NPPES record last updated: August 31, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Keith Edward Blackwell Md NPPES

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

KEITH EDWARD BLACKWELL MD (NPI 1669496964) is an individual otolaryngology provider in Los Angeles, California, licensed in California (G68815) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Northwestern University Womans Medical School (1988).

NPPES Registry Identity

NPI1669496964
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameKEITH EDWARD BLACKWELLCredential: MD
Location Address200 MEDICAL PLZ, #550Los Angeles, CA 90095-0001
Mailing Address5767 W Century Blvd, Suite 400Los Angeles, CA 90045-5631 · (310) 206-6688
Phone(310) 206-6688
Sole ProprietorNo
Medical School CMSNorthwestern University Womans Medical SchoolGraduated 1988
Enumeration DateJuly 27, 2006
Last NPPES UpdateAugust 31, 2010
✔ NPI 1669496964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in CA · G68815
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
200 MEDICAL PLZ, Los Angeles, CA 90095
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Other Identifiers 3

Medicare UPINF85958CA
Medicare PINWG68815ACA
Medicaid00G68150CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Keith Edward Blackwell 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.

PECOS PAC ID9739231226
PECOS Enrollment IDI20090714000536
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
99 services87 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.86
Promoting Interoperability100
Improvement Activities40
Cost64.12

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
3 suppliers43 claims1,233 services$2.57 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
2 suppliers20 claims14,314 services$0.32 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
3 suppliers38 claims17,042 services$0.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

INGRID RODI M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
200 MEDICAL PLZ, 202
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7274
ARIE BELLDEGRUN MD
Urology
200 MEDICAL PLZ, SUITE 140
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7700
JOEL AVRAM SERCARZ MD
Otolaryngology
200 MEDICAL PLZ, #550
LOS ANGELES, CA 90095
Los Angeles County (310) 206-6688
ROBERT KAIDA CHIN MD, PHD
Radiology (Radiation Oncology)
200 MEDICAL PLZ, SUITE B265
LOS ANGELES, CA 90095
Los Angeles County (310) 301-9775
LAWRENCE ANDREW YEATMAN MD
Internal Medicine (Cardiovascular Disease)
200 MEDICAL PLZ, #365,530,420,120
LOS ANGELES, CA 90095
Los Angeles County (310) 582-6220
HENRY K KAWAMOTO MD
Surgery
200 MEDICAL PLZ, STE 465
LOS ANGELES, CA 90095
Los Angeles County (310) 825-5510
SHARON L HAME MD
Orthopaedic Surgery (Sports Medicine)
200 MEDICAL PLZ, SUITE 140
LOS ANGELES, CA 90095
Los Angeles County (310) 319-1234
DR. JOHN N. MAFI M.D.
Internal Medicine
200 MEDICAL PLZ, SUITE 365
LOS ANGELES, CA 90095
Los Angeles County (310) 794-2280

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 Blackwell's NPI number?

The NPI number for Keith Blackwell is 1669496964. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Keith Blackwell located?

Keith Blackwell practices at 200 Medical Plz #550, Los Angeles, CA 90095. The listed phone number is (310) 206-6688.

What is Keith Blackwell's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Keith Blackwell enrolled in Medicare?

Yes. Keith Blackwell 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.

When was this NPI record last updated?

The NPPES record for Keith Blackwell was last updated on August 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.