Individual provider Active NPI

Keith Alan Minnich, MD

  • Anesthesiology Physician
  • West Reading, PA
National Provider Identifier
1013979145
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD042670E Issued in PA
Practice address
6TH Ave & Spruce St
West Reading, PA 19611
Phone
(610) 988-8589
Fax
(610) 988-5976
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD042670E PA Primary

Addresses

Primary practice location

6TH Ave & Spruce St
West Reading, PA 19611

Mailing address

250 College Ave
Lancaster, PA 17603-3363
Phone (610) 988-8589

Other identifiers 1

IdentifierTypeStateIssuer
0012407270001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081007000355 PA Practitioner - Anesthesiology 1951369495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Pennsylvania State University College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tower Health Medical GroupGroup PAC ID 7618889213, 578 clinicians

Practice addresses (Care Compare)

2610 Keiser Blvd
Wyomissing, PA 19610-3333
Phone (484) 750-3950

420 S 5TH Ave
West Reading, PA 19611-2143

Hospital & facility affiliations

  • Reading Hospital Hospital, West Reading, PA, CCN 390044

Merit-based Incentive Payment System (MIPS)

Final score
84.71 of 100Reported as group
Quality
73.34
Promoting interoperability
97
Improvement activities
40
Cost
78.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD042670EPAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group Current Accepting new patients
Tower Health Medical Group CurrentSince Jul 1, 2017 Accepting new patients
Tower Health Medical Group CurrentSince Jul 1, 2017 Accepting new patients

Locations

6 Spruce St
West Reading, PA 19611
Phone (484) 628-8269

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1013979145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 COLLEGE AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033363",
            "telephone_number": "610-988-8589",
            "fax_number": "610-988-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6TH AVE & SPRUCE ST",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "19611",
            "telephone_number": "610-988-8589",
            "fax_number": "610-988-5976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNICH",
        "first_name": "KEITH",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD042670E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012407270001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Reading, PA

Sources for this page

Verify at the official NPI Registry.