KEITH VINCENT MCINNERNEY PA-C
NPI 1972901650
Physician Assistant - Medical in Southlake, TX

Q: What is Keith Mcinnerney's NPI number?

The NPI number for Keith Mcinnerney is 1972901650. It was assigned to this individual provider in the NPPES registry on December 12, 2014.

Q: What is Keith Mcinnerney's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Keith Mcinnerney was last updated on March 10, 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.

Active since December 12, 2014PECOS EnrolledAccepts Medicare Assignment

630 N KIMBALL AVE STE 100, SOUTHLAKE, TX 76092(817) 421-8777 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2021, Mar 5, 2021, Jul 14, 2016 and 1 more (4 updates tracked since 2015).

On this page

About Keith Vincent Mcinnerney Pa-c NPPES

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

KEITH VINCENT MCINNERNEY PA-C (NPI 1972901650) is an individual medical provider in Southlake, Texas, licensed in Texas (PA09502) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Ardmore, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1972901650

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameKEITH VINCENT MCINNERNEYCredential: PA-C

Location Address630 N KIMBALL AVE STE 100Southlake, TX 76092-6886

Mailing Address630 N Kimball Ave Ste 100Southlake, TX 76092-6886 · (817) 421-8777 · Fax (817) 421-4388

Phone(817) 421-8777

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateDecember 12, 2014

Last NPPES UpdateMarch 10, 20214 updates tracked since enumeration

NPPES CertifiedMarch 10, 2021

✔ NPI 1972901650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in TX · PA09502✔ Licensed in OK · 2585

630 N KIMBALL AVE STE 100, Southlake, TX 76092

Open in Google Maps ↗

Secondary Practice Location 1

Location 1908 N Rockford Rd, Suite AArdmore, OK 73401-2540 · Phone (580) 226-7771 · Fax (580) 226-7788

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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

Keith Vincent Mcinnerney 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 ID143545707

PECOS Enrollment IDI20150203000651

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.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

475 services47 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

184 services45 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

140 services121 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

103 services55 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

58 services53 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

51 services51 patients

Detection test by immunoassay technique for influenza virus 87400

An immunoassay test for influenza virus is a procedure that identifies the presence of the flu virus in your body. It uses your body's immune response to detect specific proteins (antigens) associated with the virus. This helps in early and accurate diagnosis of influenza.

48 services23 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

45 services43 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

42 services37 patients

Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b 87636

This test detects the presence of SARS-CoV-2 (COVID-19) and Influenza types A and B in your body. It uses a method called the multiplex amplified probe technique to amplify and identify specific virus genes. It helps in early diagnosis and appropriate treatment.

32 services31 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

30 services27 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

21 services20 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

14 services14 patients

Inhalation treatment for airway obstruction or sputum production 94640

Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.

11 services11 patients

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

Albuterol and ipratropium bromide are medications used to help you breathe more easily. They work by relaxing your airways and increasing airflow to your lungs. These FDA-approved drugs are administered through a device called DME (Durable Medical Equipment) which ensures accurate dosage.

11 services11 patients

Other Providers at the Same Location NPPES 2

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

SOUTHLAKE KIDNEY SPECIALISTS, PLLC

Internal Medicine (Nephrology)

630 N KIMBALL AVE STE 100
SOUTHLAKE, TX 76092

Tarrant County (817) 733-9367

DR. BRANDY HOFFMAN STRANGE MD

Family Medicine

630 N KIMBALL AVE STE 100
SOUTHLAKE, TX 76092

Tarrant County (817) 421-8777

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 Mcinnerney's NPI number?

The NPI number for Keith Mcinnerney is 1972901650. It was assigned to this individual provider in the NPPES registry on December 12, 2014.

Where is Keith Mcinnerney located?

Keith Mcinnerney practices at 630 N Kimball Ave Ste 100, Southlake, TX 76092. The listed phone number is (817) 421-8777.

What is Keith Mcinnerney's specialty?

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

Is Keith Mcinnerney enrolled in Medicare?

Yes. Keith Mcinnerney 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.

What insurance does Keith Mcinnerney accept?

Health plans from Blue Cross and Blue Shield of Texas list Keith Mcinnerney as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keith Mcinnerney was last updated on March 10, 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.