Keivon Kianfar, PA-C
NPI 1205384575ActiveIndividual· Physician Assistant, Medical· Albuquerque, NM
Physician Assistant, Medical (PA-C) with Hawaii Permanente Medical Group Inc, practicing in Albuquerque, New Mexico. Enrolled in Medicare as practitioner - physician assistant and practitioner - physician assistant. Lists Kaiser Foundation Hospital as a hospital affiliation.
Overview
| NPI | 1205384575 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 15, 2016 |
| Last updated in NPPES | Jun 8, 2023 |
| Certified by provider | Jun 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA2016-0091 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (HI); Practitioner - Physician Assistant (NM) |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Hawaii Permanente Medical Group IncHonolulu, HI · 704 clinicians
Hospital affiliation
- Kaiser Foundation HospitalHonolulu, HI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 143 physician assistants in Albuquerque · All physician assistants in New Mexico