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ATHENA MARIE KEOBOUNNAM PA-C
NPI 1982482816
Physician Assistant - Surgical in Fresno, CA

Active since September 20, 2023PECOS EnrolledAccepts Medicare Assignment
7257 N FRESNO ST, FRESNO, CA 93720(559) 227-7463 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2023, Oct 31, 2023 (2 updates tracked since 2023).

About Athena Marie Keobounnam Pa-c NPPES

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

ATHENA MARIE KEOBOUNNAM PA-C (NPI 1982482816) is an individual surgical provider in Fresno, California, licensed in California (PA63422) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1982482816
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameATHENA MARIE KEOBOUNNAMCredential: PA-C
Location Address7257 N FRESNO STFresno, CA 93720-2950
Mailing Address4733 W Vassar AveFresno, CA 93722-7327 · (559) 367-3936
Phone(559) 227-7463
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 20, 2023
Last NPPES UpdateOctober 31, 20232 updates tracked since enumeration
NPPES CertifiedOctober 22, 2023
✔ NPI 1982482816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CA · PA63422
Also ListedPhysician AssistantTaxonomy 363A00000X
7257 N FRESNO ST, Fresno, CA 93720
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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

Athena Marie Keobounnam 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 ID4082060553
PECOS Enrollment IDI20231020000351
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
31 services25 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
20 services16 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
12 services11 patients

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.

COMMUNITY ONCOLOGY ASSOCIATES MEDICAL GROUP, INC.
Specialist
7257 N FRESNO ST
FRESNO, CA 93720
Fresno County (559) 228-5444
DR. BRENT L KANE MD
Specialist
7257 N FRESNO ST
FRESNO, CA 93720
Fresno County (559) 447-4050
DR. DMITRY DMITRIYEVICH BELCHENKO DO
Psychiatry & Neurology (Neurology)
7257 N FRESNO ST
FRESNO, CA 93720
Fresno County (559) 227-7463
RAHUL CHUG DO
Internal Medicine
7257 N FRESNO ST
FRESNO, CA 93720
Fresno County (559) 451-3638
HEATHER MARIE BRONIEC PA
Physician Assistant (Surgical)
7257 N FRESNO ST
FRESNO, CA 93720
Fresno County (559) 227-7463
ROCIO ANTONIA ESTRADA PA-C
Physician Assistant
7257 N FRESNO ST
FRESNO, CA 93720
Fresno County (559) 222-7246
UMA G SWAMY MD
Radiology (Radiation Oncology)
7257 N FRESNO ST
FRESNO, CA 93720
Fresno County (559) 457-4050
MOHONA REZA
Psychiatry & Neurology (Neurology)
7257 N FRESNO ST
FRESNO, CA 93720
Fresno County (559) 227-7463

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 Athena Keobounnam's NPI number?

The NPI number for Athena Keobounnam is 1982482816. It was assigned to this individual provider in the NPPES registry on September 20, 2023.

Where is Athena Keobounnam located?

Athena Keobounnam practices at 7257 N Fresno St, Fresno, CA 93720. The listed phone number is (559) 227-7463.

What is Athena Keobounnam's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Athena Keobounnam enrolled in Medicare?

Yes. Athena Keobounnam 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 Athena Keobounnam was last updated on October 31, 2023. 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.