KEOLA MD INC
NPI 1760204432
Internal Medicine - Nephrology in Los Alamitos, CA
About Keola Md Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEOLA MD INC (NPI 1760204432) is a healthcare organization registered as a nephrology in Los Alamitos, California and active in the NPI registry since October 2024. The organization lists Kelly Nguyen, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keola Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Keola MD Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Los Alamitos, CA 90720
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Keola MD Inc's NPI number?
The NPI number for Keola MD Inc is 1760204432. It was assigned to this organization in the NPPES registry on October 24, 2024.
Where is Keola MD Inc located?
Keola MD Inc is located at 10941 Bloomfield St Ste G, Los Alamitos, CA 90720. The listed phone number is (714) 406-8698.
What is Keola MD Inc's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Keola MD Inc enrolled in Medicare?
Yes. Keola MD Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Keola MD Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Keola MD Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Keola MD Inc was last updated on October 24, 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.
# Keola Md Inc · NPI 1760204432
Nephrology organization in Los Alamitos, California. Organization record, active in the CMS NPPES registry since October 24, 2024.
## Identity
- **NPI:** 1760204432 (Entity type: Organization)
- **Enumerated:** October 24, 2024
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Kelly Nguyen, CEO
## Practice location
- **Address:** 10941 BLOOMFIELD ST STE G, Los Alamitos, CA 90720-6708
- **Phone:** (714) 406-8698
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nephrology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1760204432) · Data from the CMS NPPES public registry.