Keith Sunderlin, PAC

NPI: 1093707655

Keith Sunderlin, PAC

Q: What is Keith Sunderlin's NPI number?

Keith Sunderlin's NPI number is 1093707655, a unique 10-digit identifier issued by CMS.

Q: What does Keith Sunderlin specialize in?

Keith Sunderlin specializes in Physician Assistant, taxonomy code 363A00000X.

Q: Where does Keith Sunderlin practice?

Keith Sunderlin practices in Providence, RI 02903-4923.

Q: When was Keith Sunderlin's NPI issued?

Keith Sunderlin's NPI was issued on August 19, 2005.

Q: What is Keith Sunderlin's provider type?

Keith Sunderlin is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderPhysician Assistant

NPI issued: August 19, 2005

Quick Facts

NPI Number

1093707655

TypeIndividual

StatusActive

SpecialtyPhysician Assistant

Taxonomy363A00000X — Physician Assistant

Phone

(401) 444-4000

StateRI

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1093707655)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (August 19, 2005)

Data source: CMS NPPES

Provider Overview

KEITH SUNDERLIN, PAC is a Physician Assistant provider based in Providence, RI who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1093707655

Provider TypeIndividual Provider

GenderMale

CredentialPAC

StatusActive

Enumeration DateAugust 19, 2005

Practice Location

CityProvidence

StateRI

ZIP Code02903-4923

Phone(401) 444-4000

Specialties & Licenses

★ Primary

SpecialtyPhysician Assistant

Taxonomy Code363A00000X

License StateRI

Mailing Address

CityProvidence

StateRI

ZIP Code02903-4923

Phone(401) 444-4000

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1093707655 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1093707655for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1093707655 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Physician Assistant

Physician Assistants (PAs) practice medicine under the supervision of a licensed physician, conducting physical exams, diagnosing conditions, prescribing treatments, and assisting in surgeries.

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