CAMELLIA RACU-KEEFER (MD) – Surgery Physician, NPI 1801979299

CAMELLIA RACU-KEEFER (MD) is a healthcare provider. based in San marcos, California. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. A107797 (CA). The NPI Number for CAMELLIA RACU-KEEFER (MD) is 1801979299

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
CAMELLIA RACU-KEEFER (MD)
NPI
1801979299
Phone
(619) 662-1222
Address
400 CRAVEN RD
Enumeration Date
23 October 2006
Last Update Date
1 December 2021

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
6195285000
Graduation Year
2004 (22 years ago)
PAC ID
9133272321
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20090805000695
Address ID
CA921202507SA4647XAVEX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

3,317 GENERAL SURGERY in CA

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Provider Addresses for CAMELLIA RACU-KEEFER (MD)

  • 400, Craven Road, San Marcos, San Diego County, California, 92078, United States

    SAN MARCOS, CA 920784201

    Phone: (619) 662-1222

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-08-05

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
I20090805000695IGeneral SurgeryCATBD

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 92078)

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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: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

How do payers reference CAMELLIA RACU-KEEFER (MD)?
For CAMELLIA RACU-KEEFER (MD), use NPI 1801979299 as the unique 10-digit identifier.
Is CAMELLIA RACU-KEEFER (MD) shown as active in public data?
Registry records indicate CAMELLIA RACU-KEEFER (MD) maintains an active NPI.
What area of care is associated with CAMELLIA RACU-KEEFER (MD)?
CAMELLIA RACU-KEEFER (MD)'s record emphasizes Surgery Physician. Clinical services aligned with this taxonomy classification.
Is CAMELLIA RACU-KEEFER (MD) located near San Marcos?
CAMELLIA RACU-KEEFER (MD) currently maps to San Marcos, California in this extract.
When was this NPI issued?
Enumeration for CAMELLIA RACU-KEEFER (MD) is noted as October 23, 2006 where the registry provides it.

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