KEITH ISAMU UYENO DO
NPI 1750960381
Student in an Organized Health Care Education/Training Program in San Jose, CA

Active since April 02, 2021PECOS EnrolledAccepts Medicare Assignment
751 S BASCOM AVE, SAN JOSE, CA 95128(408) 885-5000 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Keith Isamu Uyeno Do NPPES

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

KEITH ISAMU UYENO DO (NPI 1750960381) is an individual student in an organized health care education/training program in San Jose, California and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1750960381
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEITH ISAMU UYENOCredential: DO
Location Address751 S BASCOM AVESan Jose, CA 95128-2604
Mailing Address751 S Bascom AveSan Jose, CA 95128-2604
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 2, 2021
NPPES CertifiedApril 1, 2021
✔ NPI 1750960381 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.
751 S BASCOM AVE, San Jose, CA 95128

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

Keith Isamu Uyeno Do 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 ID4183168677
PECOS Enrollment IDI20240625003646
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.

Medicare Billing Reassignment

Medicare enrollment records show Keith Uyeno reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
828 S BASCOM AVE STE 250
San Jose, CA 95128
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1588721500 (California), NPI 1629301346 (California)
  • 2,460 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.

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.

Pharmacist
751 S BASCOM AVE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE, DEPARTMENT OF MEDICINE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Perfusionist
751 S BASCOM AVE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Thoracic Surgery (Cardiothoracic Vascular Surgery)
751 S BASCOM AVE, CARDIAC SURGERY DEPT
SAN JOSE, CA 95128
Internal Medicine
751 S BASCOM AVE, RADIATION ONCOLOGY
SAN JOSE, CA 95128

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 Uyeno's NPI number?

The NPI number for Keith Uyeno is 1750960381. It was assigned to this individual provider in the NPPES registry on April 2, 2021.

Where is Keith Uyeno located?

Keith Uyeno practices at 751 S Bascom Ave, San Jose, CA 95128. The listed phone number is (408) 885-5000.

What is Keith Uyeno's specialty?

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

Is Keith Uyeno enrolled in Medicare?

Yes. Keith Uyeno 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 organization bills Medicare for Keith Uyeno's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Uyeno reassigns Medicare benefits to County Of Santa Clara (San Jose, CA). The 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 Keith Uyeno'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 Keith Uyeno was last updated on April 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.