NPIMap

Individual provider Active NPI

Rachel R Keith, DO

  • Family Medicine Physician
  • Dodgeville, WI
National Provider Identifier
1043275571
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
46056-021 Issued in WI
Practice address
833 S Iowa St
Ste 102
Dodgeville, WI 53533-1900
Phone
(608) 935-3301
Fax
(608) 935-3823
NPI assigned
Apr 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 46056-021 WI Primary

Addresses

Primary practice location

833 S Iowa St
Ste 102
Dodgeville, WI 53533-1900

Mailing address

833 S Iowa St
Ste 102
Dodgeville, WI 53533-1900
Phone (608) 935-3301

Other identifiers 1

IdentifierTypeStateIssuer
1043275571MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rkeith258487@direct-ehr-ssmhc.com Direct
FHIR URL rkeith258487@direct-ehr-ssmhc.com Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051005000464 WI Practitioner - Family Practice 7214962539 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dean Health Systems IncGroup PAC ID 7012827983, 1,174 clinicians

Practice addresses (Care Compare)

833 S Iowa St
Suite 102
Dodgeville, WI 53533-1900
Phone (608) 935-3301

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions23
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46056-021WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Health Systems, Inc. CurrentSince Nov 1, 2014 Accepting new patients
Upland Hills Health, Inc CurrentSince Dec 1, 2014 Accepting new patients
Upland Hills Health, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Upland Hills Health Inc Current Accepting new patients
Dean Health Systems, Inc Family Medicine CurrentSince Nov 1, 2014 Accepting new patients
Upland Hills Health, Inc. Family Medicine CurrentSince Dec 1, 2014 Accepting new patients
Upland Hills Health, Inc. Past Accepting new patients
Dean Health Systems, Inc, Past Accepting new patients

Locations

1700 Tuttle St
Baraboo, WI 53913
Phone (608) 355-3800

800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200

507 S Monroe St
Lancaster, WI 53813
Phone (608) 723-2131

1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1043275571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 S IOWA ST",
            "address_2": "STE 102",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331900",
            "telephone_number": "608-935-3301",
            "fax_number": "608-935-3823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 S IOWA ST",
            "address_2": "STE 102",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331900",
            "telephone_number": "608-935-3301",
            "fax_number": "608-935-3823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "RACHEL",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "46056-021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043275571",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkeith258487@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "rkeith258487@direct-ehr-ssmhc.com",
            "address_1": "833 S Iowa St",
            "address_2": "STE 102",
            "city": "Dodgeville",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535331900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "rkeith258487@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "833 S Iowa St",
            "address_2": "STE 102",
            "city": "Dodgeville",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535331900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dodgeville, WI

Sources for this page

Verify at the official NPI Registry.