KEITH COLBURN (M.D.) – Rheumatology Physician, NPI 1477570869

KEITH COLBURN (M.D.) is a healthcare provider. based in Los angeles, California. specializing in RHEUMATOLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. G20763 (CA). The NPI Number for KEITH COLBURN (M.D.) is 1477570869

Main info

Male
56 Years Of Experience
Accepts Medicare Assignment
Name
KEITH COLBURN (M.D.)
NPI
1477570869
Phone
(909) 558-3111
Address
56994 FILE NUMBER
Enumeration Date
16 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9516525000
Graduation Year
1970 (56 years ago)
PAC ID
9830261189
Group Practice PAC ID
2567548258
Professional Enrollment ID
I20080702000425
Address ID
CA925866542ME29798RDXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

759 RHEUMATOLOGY in CA

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Provider Addresses for KEITH COLBURN (M.D.)

  • 56994 FILE NUMBER

    LOS ANGELES, CA 900746994

    Phone: (909) 558-3111

    Type: Mailing

  • 11370, Anderson Street, Loma Linda, San Bernardino County, California, 92354, United States

    STE 3150

    LOMA LINDA, CA 923543450

    Phone: (909) 558-2191

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 258 Open Payments records for all available years, with a total value of $4,998.

Total Amount is formed as General ($4,998) + Research ($0) + Ownership ($0) = $4,998.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($1,347).

Total Amount

$4,998

General + Research + Ownership

Payments

258

Total payment records

General Amount

$4,998

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-07-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080702000425IRheumatologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90074)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567548258View full group profile
NameSpecialtyState
Internal Medicine, RheumatologyCA
Internal MedicineCA
R H E U M A T O L O G YCA
Rheumatology, Internal MedicineCA

Reviews

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Frequently asked questions

What is KEITH COLBURN (M.D.)'s NPI number?
KEITH COLBURN (M.D.)'s NPI is 1477570869 — the number used across U.S. healthcare to identify this provider.
Is there an active status for KEITH COLBURN (M.D.)?
For scheduling context, KEITH COLBURN (M.D.) is shown as active in the registry.
What expertise is attributed to KEITH COLBURN (M.D.)?
KEITH COLBURN (M.D.)'s specialty line reads Rheumatology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with KEITH COLBURN (M.D.)?
Directory geography for KEITH COLBURN (M.D.) centers on Los Angeles, California.
When was this NPI issued?
Enumeration for KEITH COLBURN (M.D.) is noted as July 16, 2006 where the registry provides it.

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