Keith Richard De Young, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD28538 Issued in OR

Practice address

415 Main St
Summersville, WV 26651-1343

Phone

(304) 872-1663

NPI assigned

May 10, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, WV2 enrollments

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 2

Specialty

Family Practice

Education

University of Chicago, Pritzker School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Camden on Gauley Medical Center IncGroup PAC ID 6002867850, shared by 25 NPIs, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Summersville Regional Medical Center Hospital, Summersville, WV, CCN 511322

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kdeyoung24746@direct.ochin.org

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.

• Camden on Gauley Medical Center Inc

  dba Camden Family Health

  • Federally Qualified Health Center (FQHC)
  • Summersville, WV
  • NPI 1508372228
  Medicare reassignment NPD
• Camden on Gauley Medical Center Inc

  dba Central WV Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Summersville, WV
  • NPI 1558340414
  Medicare reassignment NPD
• Wallowa County Health Care District

  dba Wallowa Memorial Hospital

  • Critical Access Hospital Clinic/Center
  • Enterprise, OR
  • NPI 1447256250

  Family Medicine

  Medicare reassignment NPD
• Wallowa County Health Care District

  dba Wallowa Memorial Hospital

  • Critical Access Hospital
  • Enterprise, OR
  • NPI 1558366229
  Medicare reassignment NPD
• Winding Waters Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Enterprise, OR
  • NPI 1922475219
  Medicare reassignment NPD
• Camden on Gauley Medical Center Inc

  dba Camden Family Health

  • Federally Qualified Health Center (FQHC)
  • Nettie, WV
  • NPI 1174065916
  NPD
• Camden on Gauley Medical Center Inc

  dba Camden Family Health-Red Oak

  • Federally Qualified Health Center (FQHC)
  • Craigsville, WV
  • NPI 1215394648
  NPD
• Camden on Gauley Medical Center Inc

  dba Camden Family Health

  • Federally Qualified Health Center (FQHC)
  • Richwood, WV
  • NPI 1245938513
  NPD
• Camden on Gauley Medical Center Inc

  dba Camden Family Health

  • Federally Qualified Health Center (FQHC)
  • Craigsville, WV
  • NPI 1427585157
  NPD
• Camden on Gauley Medical Center Inc

  dba Camden Family Health

  • Federally Qualified Health Center (FQHC)
  • Summersville, WV
  • NPI 1558174086
  NPD
• Camden on Gauley Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Camden on Gauley, WV
  • NPI 1598749244
  NPD
• Camden on Gauley Medical Center Inc

  dba Camden Family Health

  • Federally Qualified Health Center (FQHC)
  • Richwood, WV
  • NPI 1700312618
  NPD

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

• West Virginia Health Care Cooperative Inc

  dba Summersville Regional Medical Center

  • Critical Access Hospital
  • Summersville, WV
  • NPI 1043778319
  Care Compare affiliation
• West Virginia Health Care Cooperative Inc

  dba SRMC Medical Group

  • Hospitalist Physician
  • Summersville, WV
  • NPI 1417415324
  Care Compare affiliation

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1083829402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MAIN ST",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511343",
            "telephone_number": "304-872-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MAIN ST",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511343",
            "telephone_number": "304-872-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE YOUNG",
        "first_name": "KEITH",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2025-09-11",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD28538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Ray Cutlip
• Donna Cutlip
• Jonathan B Dale, MD
• Anthony Davis, LPN
• Rachel Davis, PHARMD
• Crystal Dawn Deal
• Sieann Marie Deal
• Amanda Deitz
• Amanda Deitz
• Tristen Deitz

• Family Medicine Physician in Summersville, WV
• Providers in Summersville, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.