Individual provider Active NPI

Douglas John Keim, D.C.

  • Chiropractor
  • Monroeville, PA
National Provider Identifier
1083788772
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-006382-L Issued in PA
Practice address
339 Old Haymaker Rd
Suite 1900
Monroeville, PA 15146-1435
Phone
(412) 372-7500
Fax
(412) 372-7531
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-006382-L PA Primary

Addresses

Primary practice location

339 Old Haymaker Rd
Suite 1900
Monroeville, PA 15146-1435

Mailing address

339 Old Haymaker Rd
Suite 1900
Monroeville, PA 15146-1435
Phone (412) 372-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110321000340 PA Practitioner - Chiropractic 2163605718 Reassigns benefits to 1 organization
Practice locations: Monroeville, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

339 Old Haymaker Rd
Suite 1900
Monroeville, PA 15146-1489
Phone (412) 372-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-006382-LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Keim Chiropractic LLC Chiropractor CurrentSince Jun 9, 2020 Accepting new patients
DV Professional Group PLLC PastSince Dec 1, 2025 Accepting new patients

Locations

339 Old Haymaker Rd
Ste 1900
Monroeville, PA 15146
Phone (412) 372-7500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1083788772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 OLD HAYMAKER RD",
            "address_2": "SUITE 1900",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151461435",
            "telephone_number": "412-372-7500",
            "fax_number": "412-372-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 OLD HAYMAKER RD",
            "address_2": "SUITE 1900",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151461435",
            "telephone_number": "412-372-7500",
            "fax_number": "412-372-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIM",
        "first_name": "DOUGLAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-006382-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.