NPI Details
Keith Edward Blackwell, MD is an otolaryngology in Los Angeles, CA with 37 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. Keith Edward Blackwell, MD NPI is 1669496964. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: NORTHWESTERN UNIVERSITY WOMANS MEDICAL SCHOOL
Graduation Year:1988
The provider's business location address is:
200 MEDICAL PLZ
#550
LOS ANGELES, CA
ZIP 90095-001
Phone: (310) 206-6688
The NPI 1669496964 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
- Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
- Removal of lymph nodes, muscle, and tissue of neck (HCPCS:38724)
- Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less (HCPCS:15100)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 7/27/2006 and was last updated on 8/31/2010.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207Y00000X | Otolaryngology | | G68815 | CALIFORNIA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | F85958 | MEDICARE UPIN | CALIFORNIA | |
| 2 | WG68815A | MEDICARE PIN | CALIFORNIA | |
| 3 | 00G68150 | MEDICAID | CALIFORNIA | |
