PETER KEATES (CCC-SLP) – Speech-Language Pathologist, NPI 1154040947

PETER KEATES (CCC-SLP) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials CCC-SLP. They hold a License No. 5771 (OK). The NPI Number for PETER KEATES (CCC-SLP) is 1154040947

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
PETER KEATES (CCC-SLP)
NPI
1154040947
Phone
(405) 271-4214
Address
1200 N STONEWALL AVE STE 3091
Enumeration Date
24 August 2022
Last Update Date
24 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4052712866
Graduation Year
2021 (5 years ago)
PAC ID
1355726712
Group Practice PAC ID
0840288007
Professional Enrollment ID
I20220921001156
Address ID
OK731171215OK1200XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

114 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in OK

Provider Addresses for PETER KEATES (CCC-SLP)

  • 1200 N STONEWALL AVE STE 3091

    OKLAHOMA CITY, OK 731171215

    Phone: (405) 271-4214

    Type: Mailing

  • 1200 N STONEWALL AVE

    OKLAHOMA CITY, OK 731171215

    Phone: (405) 271-4214

    Type: Location

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: 2022-09-21

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
I20220921001156IQualified Speech Language PathologistOKTBD

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 73117)

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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: 0840288007View full group profile
NameSpecialtyState
Qualified AudiologistOK
Qualified AudiologistOK
Qualified AudiologistNJ
Qualified AudiologistOK
-OK

Reviews

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Frequently asked questions

Can I verify PETER KEATES (CCC-SLP) with an NPI only?
You can start verification with NPI 1154040947 for PETER KEATES (CCC-SLP), then check state licensing separately.
Can I rely on PETER KEATES (CCC-SLP) being an active provider?
As of the registry snapshot, PETER KEATES (CCC-SLP) is marked active.
What healthcare role does PETER KEATES (CCC-SLP) hold?
Scheduling teams often label PETER KEATES (CCC-SLP) under Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Where should I expect PETER KEATES (CCC-SLP) on a map?
Expect Oklahoma City, Oklahoma as a primary anchor for PETER KEATES (CCC-SLP) unless the record lists multiple sites.
Why does PETER KEATES (CCC-SLP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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