KEENAN BAPTISTA DO
NPI 1730884693
Student in an Organized Health Care Education/Training Program in Boise, ID

Active since March 31, 2023PECOS Enrolled
500 W FORT ST BLDG 116, BOISE, ID 83702(208) 422-1165 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2024, Mar 31, 2023 (2 updates tracked since 2023).

About Keenan Baptista Do NPPES

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

KEENAN BAPTISTA DO (NPI 1730884693) is an individual student in an organized health care education/training program in Boise, Idaho and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730884693
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEENAN BAPTISTACredential: DO
Location Address500 W FORT ST BLDG 116Boise, ID 83702-4501
Mailing Address500 W Fort St Bldg 116Boise, ID 83702-4501 · (208) 422-1165
Sole ProprietorNo
Enumeration DateMarch 31, 2023
Last NPPES UpdateJuly 11, 20242 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
NPI 1730884693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
500 W FORT ST BLDG 116, Boise, ID 83702

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Keenan Baptista Do 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.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
500 W FORT ST BLDG 116
BOISE, ID 83702
Student in an Organized Health Care Education/Training Program
500 W FORT ST BLDG 116
BOISE, ID 83702
Student in an Organized Health Care Education/Training Program
500 W FORT ST BLDG 116
BOISE, ID 83702
Respiratory Therapist, Registered
500 W FORT ST BLDG 116
BOISE, ID 83702
Psychiatry & Neurology (Psychiatry)
500 W FORT ST BLDG 116
BOISE, ID 83702
Respiratory Therapist, Certified
500 W FORT ST BLDG 116
BOISE, ID 83702
Psychiatry & Neurology (Psychiatry)
500 W FORT ST BLDG 116
BOISE, ID 83702
Psychiatry & Neurology (Psychiatry)
500 W FORT ST BLDG 116
BOISE, ID 83702

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 Keenan Baptista's NPI number?

The NPI number for Keenan Baptista is 1730884693. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Where is Keenan Baptista located?

Keenan Baptista practices at 500 W Fort St Bldg 116, Boise, ID 83702. The listed phone number is (208) 422-1165.

What is Keenan Baptista's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Keenan Baptista enrolled in Medicare?

Yes. Keenan Baptista is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keenan Baptista was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.