KEITH A. CORL (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1124243134
Critical Care Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
824 EMERGENCY MEDICINE in OR
Provider Addresses for KEITH A. CORL (MD)
1046 6TH AVE SW
ALBANY, OR 973211916
Phone: (541) 812-4000
Type: Location
593 EDDY ST
PROVIDENCE, RI 029034923
Phone: (401) 444-8450
Fax: (401) 444-5088
Type: Mailing
1700 PRAIRIE CITY RD
FOLSOM, CA 956309594
Phone: (916) 351-4800
Fax: (916) 351-4899
Type: Location
3400 DATA DR
RANCHO CORDOVA, CA 956707956
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2024-12-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140815000179 | I | Emergency Medicine | RI | TBD |
| I20180219000462 | I | Emergency Medicine | MA | TBD |
| I20220607002758 | I | Emergency Medicine | CA | TBD |
| I20241226000097 | I | Emergency Medicine | OR | TBD |
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.
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 97321)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Critical Care (Intensivists) | CA | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | CA | |
| Critical Care (Intensivists), Internal Medicine, Pulmonary Disease, Sleep Medicine | CA | |
| Critical Care (Intensivists) | NM | |
| - | NV | |
| Critical Care (Intensivists) | MD | |
| Internal Medicine, Pulmonary Disease, Critical Care (Intensivists) | CA | |
| Critical Care (Intensivists) | CA | |
| Pulmonary Disease, Critical Care (Intensivists) | CA | |
| Critical Care (Intensivists), Pulmonary Disease | CA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.