Keith D Sumey, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

4301078906 Issued in MI

Practice address

1858 Fircrest Dr
Eugene, OR 97403-2139

Phone

(616) 881-9555

Fax

(616) 881-9555

NPI assigned

Apr 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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 1

Specialty

Emergency Medicine

Education

Uniformed Services Uhs Fe Hebert School of Med, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doctors Emergency Room Corp PCGroup PAC ID 2668467317, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McKenzie-Willamette Medical Center Hospital, Springfield, OR, CCN 380020

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1804/brand/1/csg/1/fhir/r4
• Direct secure messaging: ksumey@yourcarecommunity.org

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.

• Doctors Emergency Room Corp PC

  • Emergency Medicine Physician
  • Eugene, OR
  • NPI 1811055437
  Medicare reassignment Care Compare group NPD
• Emergency Care Specialists PC

  • Emergency Medicine Physician
  • Grand Rapids, MI
  • NPI 1093766958

  Anesthesiology

  NPD (past)
• Emergency Medical Associates, PLLC

  • Emergency Medicine Physician
  • Lansing, MI
  • NPI 1346227626
  NPD (past)

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

• McKenzie-Willamette Regional Medical Center Associates LLC

  • General Acute Care Hospital
  • Springfield, OR
  • NPI 1568413573
  Care Compare affiliation

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1295798908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1858 FIRCREST DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974032139",
            "telephone_number": "616-881-9555",
            "fax_number": "616-881-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1858 FIRCREST DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974032139",
            "telephone_number": "616-881-9555",
            "fax_number": "616-881-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMEY",
        "first_name": "KEITH",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301078906",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MI",
            "license": "4301078906",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301078906",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00824253",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylee Sullivan, RBAI
• Kelley Sullivan
• Mariah Wynne Beck Sullivan
• Nina Noella Sullivan, LMT
• Ashton Sulzer, LMT
• Kimberly Anne Summerhays, LPC, QMHP
• Myranda Chantel Summers
• Candace Sumner
• Ivan Kent Sumner, LCSW
• Xiaoning Sun

• Emergency Medicine Physician in Eugene, OR
• Providers in Eugene, OR by specialty
• Emergency Medicine Physician in Oregon

• 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; 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.