Wensley M Keith MD PC
NPI 1174357768 · General Practice Physician · Newport Beach, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wensley M Keith MD PC is a General Practice Physician organization in Newport Beach, CA (NPI 1174357768).
Provider details
- NPI number
- 1174357768
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tammy Knickerbocker, Manager(949) 610-5240
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2024-08-27
- Last updated
- 2025-05-28
- Certified
- 2025-05-28
Frequently asked questions
- What is Wensley M Keith MD PC's NPI number?
- Wensley M Keith MD PC's National Provider Identifier (NPI) is 1174357768, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wensley M Keith MD PC?
- Wensley M Keith MD PC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Wensley M Keith MD PC located?
- Wensley M Keith MD PC's practice location on file with NPPES is 1601 Dove St Ste 170, Newport Beach, CA 92660-1421.
- What is Wensley M Keith MD PC's phone number?
- The practice phone number listed in the NPPES registry for Wensley M Keith MD PC is (949) 610-5240.
- Does Wensley M Keith MD PC accept Medicare?
- Wensley M Keith MD PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wensley M Keith MD PC?
- The authorized official listed on Wensley M Keith MD PC's NPPES record is Tammy Knickerbocker, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wensley M Keith MD PC's NPI active?
- Yes — Wensley M Keith MD PC's NPI (1174357768) is active in the NPPES registry as of the last update on 2025-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.