Individual provider Active NPI

David Lewis Keyes, RPA-C

  • Physician Assistant
  • Fort Drum, NY
National Provider Identifier
1013993625
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
11050 Mount Belvedere Blvd
USA Meddac Credentials
Fort Drum, NY 13602-5438
Phone
(315) 772-5508
NPI assigned
Dec 16, 2005
Last updated
Mar 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

11050 Mount Belvedere Blvd
USA Meddac Credentials
Fort Drum, NY 13602-5438

Mailing address

4247 Canoe Creek Lane
Liverpool, NY 13090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IL, MI, IN, PA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20050901000625 NY Practitioner - Physician Assistant 3375575145 Reassigns benefits to 3 organizations
I20250512002127 IL Practitioner - Physician Assistant 3375575145 Reassigns benefits to 2 organizations
I20250527000712 MI Practitioner - Physician Assistant 3375575145 Reassigns benefits to 1 organization
I20250812000214 IN Practitioner - Physician Assistant 3375575145 Reassigns benefits to 1 organization
I20250912001247 PA Practitioner - Physician Assistant 3375575145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

109 Genesee St
Oneida, NY 13421-2703
Phone (315) 231-5530

230 N Genesee St
Utica, NY 13502-2529
Phone (315) 275-3214

3840 State Route 31
Liverpool, NY 13090-1310
Phone (315) 715-6319

446 Fairview Ave
Suite 200
Hudson, NY 12534-1048
Phone (518) 267-3496

4995 Wintersweet Dr
Liverpool, NY 13088-2176
Phone (315) 401-3210

5001 State Hwy 23
Oneonta, NY 13820-4508
Phone (607) 376-5346

6227 Thompson Rd
Syracuse, NY 13206-1405
Phone (315) 937-2007

6870 E Genesee St
Fayetteville, NY 13066-1031
Phone (315) 679-4367

7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064

8003 Brewerton Rd
Cicero, NY 13039-9528
Phone (315) 288-4006

921 Wayne St
Olean, NY 14760-2255
Phone (716) 379-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
008269NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Claxton-Hepburn Medical Center Past Accepting new patients
Syracuse Orthopedic Specialists, PLLC Past Accepting new patients
Onondaga Hill E R Physicians, LLP Past Accepting new patients
Hometown Urgent Care of Michigan, P.C. Past Accepting new patients

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1013993625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4247 CANOE CREEK LANE",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "13090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 MOUNT BELVEDERE BLVD",
            "address_2": "USA MEDDAC CREDENTIALS",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "136025438",
            "telephone_number": "315-772-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYES",
        "first_name": "DAVID",
        "middle_name": "LEWIS",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Drum, NY

Sources for this page

Verify at the official NPI Registry.