KEITH I YATTAW (PA-C) – Physician Assistant, NPI 1588872824

KEITH I YATTAW (PA-C) is a healthcare provider. based in Kissimmee, Florida. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 3577 (FL). The NPI Number for KEITH I YATTAW (PA-C) is 1588872824

Main info

Male
Name
KEITH I YATTAW (PA-C)
NPI
1588872824
Phone
(407) 846-2266
Address
700 W OAK ST
Enumeration Date
18 May 2007
Last Update Date
11 April 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for KEITH I YATTAW (PA-C)

  • Osceola Regional Medical Center, 700, Oak Street, Kissimmee, Osceola County, Florida, 34741, United States

    KISSIMMEE, FL 347414924

    Phone: (407) 846-2266

    Type: Location

  • 626, Stetson Street, College Park, Orlando, Orange County, Florida, 32804, United States

    ORLANDO, FL 328045837

    Phone: (407) 648-0986

    Type: Mailing

  • 1401 W SEMINOLE BLVD

    SANFORD, FL 327716743

    Phone: (407) 846-2266

    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: 2005-07-08

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
I20050708000634IPhysician AssistantFLTBD

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

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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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making2624$0
99283Emergency department visit with low level of medical decision making2020$0
View full utilization report →

Insurance plans in this area (ZIP 34741)

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Reviews

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Frequently asked questions

Can I use this page to confirm KEITH I YATTAW (PA-C)'s NPI?
Yes. KEITH I YATTAW (PA-C) is listed with NPI 1588872824 in the public NPI dataset.
Is KEITH I YATTAW (PA-C) still practicing?
KEITH I YATTAW (PA-C) is currently listed as active in the public NPI registry.
What is KEITH I YATTAW (PA-C) best known for clinically?
Directory data describes KEITH I YATTAW (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for KEITH I YATTAW (PA-C)?
KEITH I YATTAW (PA-C)'s geographic hint is Kissimmee, Florida in our summary view.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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