Individual provider Active NPI

Keith R Knuth, MD

  • Ophthalmology Physician
  • Indianapolis, IN
National Provider Identifier
1093750291
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01036083A Issued in IN
Practice address
901 E 86TH St
Indianapolis, IN 46240-1807
Phone
(317) 844-5500
Fax
(317) 573-4230
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 01036083A IN Primary

Addresses

Primary practice location

901 E 86TH St
Indianapolis, IN 46240-1807

Mailing address

901 E 86TH St
Indianapolis, IN 46240-1807
Phone (317) 844-5500

Other identifiers 1

IdentifierTypeStateIssuer
000000195734OtherINBC/BS#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01036083AINMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jerome D. Muskat, O.D., P.C. Past Accepting new patients
Comprehensive Eye Care of Indiana PC Ophthalmology Past Accepting new patients
Smith-Bridenstine MK Co LLC Past Accepting new patients
Barrett Eye Care, LLC Ophthalmology PastSince Oct 1, 2016 Accepting new patients
Whitson Vision, PC Ophthalmology Past Accepting new patients
Indiana University Eye Care Inc. Ophthalmology Past Accepting new patients

Organizations & group practices 6

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1093750291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401807",
            "telephone_number": "317-844-5500",
            "fax_number": "317-573-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401807",
            "telephone_number": "317-844-5500",
            "fax_number": "317-573-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUTH",
        "first_name": "KEITH",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01036083A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS#",
            "identifier": "000000195734",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.