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MR. KEATON ROBERT WHITCOMB PA-C
NPI 1841957396
Physician Assistant - Medical in Albuquerque, NM

Active since November 19, 2021PECOS EnrolledAccepts Medicare Assignment
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108(505) 265-1711 Get Directions Write a Review

NPPES record last updated: November 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 24, 2024, Aug 7, 2023, Jun 8, 2023 and 1 more (4 updates tracked since 2021).

About Mr. Keaton Robert Whitcomb Pa-c NPPES

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

MR. KEATON ROBERT WHITCOMB PA-C (NPI 1841957396) is an individual medical provider in Albuquerque, New Mexico, licensed in New Mexico (PA2023-0238) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1841957396
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. KEATON ROBERT WHITCOMBCredential: PA-C
Location Address1501 SAN PEDRO DR SEAlbuquerque, NM 87108-5153
Mailing Address1501 San Pedro Dr SeAlbuquerque, NM 87108-5153 · (505) 265-1711
Phone(505) 265-1711
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 19, 2021
Last NPPES UpdateNovember 24, 20244 updates tracked since enumeration
NPPES CertifiedNovember 24, 2024
✔ NPI 1841957396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NM · PA2023-0238
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1501 SAN PEDRO DR SE, Albuquerque, NM 87108
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Secondary Practice Locations 2

Location 17704 2nd St NWAlbuquerque, NM 87107-6755 · Phone (505) 890-1458
Location 27520 Montgomery Blvd NE Bldg D5Albuquerque, NM 87109-1533 · Phone (505) 884-7070

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

Mr. Keaton Robert Whitcomb Pa-c 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 ID4789112640
PECOS Enrollment IDI20250107000576
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 20

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

AMANDA P SAMPSON PHARMD
Pharmacist
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
DR. KENDRA SAXVIK PHARM.D.
Pharmacist (Psychiatric)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
SAMANTHA TRAVIERSO
Physician Assistant
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
MISS DESIREY MARIE HANKINS LMSW
Social Worker (Clinical)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
JOSEPH F. OSER M.D.
Internal Medicine (Geriatric Medicine)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
MARGARET PEGGY SPENCER MD
Family Medicine
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
STEPHANIE D HOISINGTON PHARM D
Pharmacist
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
ALLISYA OTTO
Social Worker (Clinical)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711

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 Keaton Whitcomb's NPI number?

The NPI number for Keaton Whitcomb is 1841957396. It was assigned to this individual provider in the NPPES registry on November 19, 2021.

Where is Keaton Whitcomb located?

Keaton Whitcomb practices at 1501 San Pedro Dr SE, Albuquerque, NM 87108. The listed phone number is (505) 265-1711.

What is Keaton Whitcomb's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Keaton Whitcomb enrolled in Medicare?

Yes. Keaton Whitcomb 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 Keaton Whitcomb was last updated on November 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.