KEITH KUROSE MD
NPI 1881769339
Family Medicine in Pomona, CA
About Keith Kurose Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEITH KUROSE MD (NPI 1881769339) is an individual family medicine provider in Pomona, California, licensed in California (A104125) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2006).
NPPES Registry Identity
Specialties & Licenses
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 Kurose Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Keith Kurose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baldwin Park, CA 91706
- Reassigned Medicare billing, California enrollment
- 13,921 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91767 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
POMONA, CA 91767
POMONA, CA 91767
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 Kurose's NPI number?
The NPI number for Keith Kurose is 1881769339. It was assigned to this individual provider in the NPPES registry on November 21, 2006.
Where is Keith Kurose located?
Keith Kurose practices at 1770 N Orange Grove Ave Suite 101, Pomona, CA 91767. The listed phone number is (909) 469-9494.
What is Keith Kurose's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Keith Kurose enrolled in Medicare?
Yes. Keith Kurose 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 Kurose's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keith Kurose reassigns Medicare benefits to Southern California Permanente Medical Group (Baldwin Park, 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 Kurose'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 Kurose was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Keith Kurose, MD · NPI 1881769339
Family Medicine physician in Pomona, California. Individual provider, active in the CMS NPPES registry since November 21, 2006.
## Identity
- **NPI:** 1881769339 (Entity type: Individual)
- **Enumerated:** November 21, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A104125 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1770 N ORANGE GROVE AVE, SUITE 101, Pomona, CA 91767-3027
- **Phone:** (909) 469-9494 · **Fax:** (909) 865-2982
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1770515280, Baldwin Park, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Wisconsin School Of Medicine, class of 2006
## Record status
- **NPPES last updated:** November 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1881769339) · Data from the CMS NPPES public registry.