DR. KEITH ZACHARY HAZLETON MD, PHD
NPI 1770825275
Pediatrics - Pediatric Gastroenterology in Los Angeles, CA

Active since March 22, 2013PECOS EnrolledAccepts Medicare Assignment
4650 W SUNSET BLVD, LOS ANGELES, CA 90027(323) 660-2450 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 26, 2020, May 18, 2020 (2 updates tracked since 2020).

About Dr. Keith Zachary Hazleton Md, Phd NPPES

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

DR. KEITH ZACHARY HAZLETON MD, PHD (NPI 1770825275) is an individual pediatric gastroenterology provider in Los Angeles, California, licensed in California (C190821) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2013).

NPPES Registry Identity

NPI1770825275
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameDR. KEITH ZACHARY HAZLETONCredential: MD, PHD
Location Address4650 W SUNSET BLVDLos Angeles, CA 90027-6062
Mailing Address4650 W Sunset Blvd # Ms 87Los Angeles, CA 90027-6062 · (323) 361-3550
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2013
Enumeration DateMarch 22, 2013
Last NPPES UpdateFebruary 27, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2024
NPI 1770825275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Licenses Licensed in CA · C190821 Licensed in CO · DR.0055436 Licensed in AZ · 61253
Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Also ListedPediatrics · Pediatric Transplant HepatologyTaxonomy 2080T0004X · License DR.0055436 (CO), 61253 (AZ)
4650 W SUNSET BLVD, Los Angeles, CA 90027

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

Dr. Keith Zachary Hazleton Md, Phd 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 ID5092019174
PECOS Enrollment IDI20240305004653
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90027 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Practitioner (Pediatrics)
4650 W SUNSET BLVD, MS #96
LOS ANGELES, CA 90027
Pediatrics (Developmental - Behavioral Pediatrics)
4650 W SUNSET BLVD, MS#76
LOS ANGELES, CA 90027
Medical Genetics (Clinical Cytogenetics)
4650 W SUNSET BLVD, MS# 43
LOS ANGELES, CA 90027
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Pediatrics (Pediatric Gastroenterology)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Nurse Practitioner (Family)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Pediatrics
4650 W SUNSET BLVD, MAILSTOP #54
LOS ANGELES, CA 90027

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 Hazleton's NPI number?

The NPI number for Keith Hazleton is 1770825275. It was assigned to this individual provider in the NPPES registry on March 22, 2013.

Where is Keith Hazleton located?

Keith Hazleton practices at 4650 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (323) 660-2450.

What is Keith Hazleton's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Keith Hazleton enrolled in Medicare?

Yes. Keith Hazleton 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 Hazleton was last updated on February 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.