Keith Basham, PHYSICIAN ASSISTANT
NPI 1124329339 · Physician Assistant · Albuquerque, NM
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Keith Basham, PHYSICIAN ASSISTANT is a Physician Assistant provider in Albuquerque, NM (NPI 1124329339).
Provider details
- NPI number
- 1124329339
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Male
- Sole proprietor
- No
- License
- 3117 (CO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-11-04
- Last updated
- 2025-05-16
- Certified
- 2025-05-16
Frequently asked questions
- What is Keith Basham's NPI number?
- Keith Basham's National Provider Identifier (NPI) is 1124329339, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keith Basham's specialty?
- Keith Basham is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Keith Basham located?
- Keith Basham's practice location on file with NPPES is 7704 2nd St Nw Ste a, Albuquerque, NM 87107-6755.
- What is Keith Basham's phone number?
- The practice phone number listed in the NPPES registry for Keith Basham is (505) 873-7400.
- Does Keith Basham accept Medicare?
- Keith Basham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Keith Basham's NPI active?
- Yes — Keith Basham's NPI (1124329339) is active in the NPPES registry as of the last update on 2025-05-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.