Active NPI
Patrick Keith, MD
- Family Medicine Physician
- Newport, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 042-0010218
- Practice address
- 186 Medical Village Dr
Newport, VT 05855-8537 - Phone
- (802) 334-3520
- NPI assigned
- Sep 29, 2006
- Last updated
- Apr 30, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 042-0010218 | VT | Primary |
Addresses
Primary practice location
186 Medical Village Dr
Newport, VT 05855-8537
Mailing address
1878 Mountain Road
Stowe, VT 05672
Phone (802) 253-4853
Other practice location 1
1878 Mountain Road
Stowe, VT 05672
Phone (802) 253-4853
Other practice location 2
189 Prouty Dr
Newport, VT 05855-9820
Phone (802) 334-3520
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 353937 | Other | VT | MVP |
| 080183802 | Other | VT | TRAVELERS MEDICARE |
| 0VN2605 | Medicaid | VT | |
| 4653401 | Other | VT | VERMONT MANAGED CARE APEX |
| 8000337 | Other | VT | LADIES FIRST |
| 00058268 | Other | VT | BCBS |
| 3389370 | Other | VT | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Vermont College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Country Hospital and Health Center Inc
Practice addresses (Care Compare)
189 Prouty Dr
Newport, VT 05855-9326
Phone (802) 487-2589
Hospital & facility affiliations
- Orleans Essex Vna & Hospice
- Orleans /Essex Vna & Hospice
- North Country Hospital and Health Center
- Mary Hitchcock Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.39 of 100
- Quality
- 72.51
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 55.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0010218 | VT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Vermont Medical Center Inc | Family Medicine | Current | Accepting new patients |
| North Country Hospital & Health Center Inc | Family Medicine | Current | Accepting new patients |
| North Country Hospital & Health Center Inc | Current | Accepting new patients | |
| North Country Hospital & Health Center Inc | Current | Accepting new patients | |
| North Country Hospital & Health Center Inc | Current | Accepting new patients |
Locations
488 Elm St
Barton, VT 05822
Phone (802) 525-3539
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
186 Medical Village Dr
Newport, VT 05855
Phone (802) 334-3520
186 Medical Village Dr
#1
Newport, VT 05855
Phone (802) 334-3262
189 Prouty Dr
Newport, VT 05855
Phone (802) 334-3569
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4a15a283-6747-4ef7-984f-ce0e904fd6f0/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Berlin, VT
- NPI 1023028784
-
dba North Country Primary Care Barton Orleans
- Rural Health Clinic/Center
- Barton, VT
- NPI 1104868892
Family Medicine
-
dba North Country Primary Care Newport
- Internal Medicine Physician
- Newport, VT
- NPI 1417023904
-
- Critical Access Hospital
- Newport, VT
- NPI 1144251059
-
dba North Country OB GYN Services
- Obstetrics & Gynecology Physician
- Newport, VT
- NPI 1295868008
-
dba North Country Surgical Associates
- Surgery Physician
- Newport, VT
- NPI 1679551238
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Newport, VT
- NPI 1144251059
-
- Community Based Hospice Care Agency
- Newport, VT
- NPI 1245381144
-
- Home Health Agency
- Newport, VT
- NPI 1457469546
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
dba MHMH Regional Services
- General Acute Care Hospital
- Lebanon, NH
- NPI 1629788237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1306938923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1878 MOUNTAIN ROAD",
"city": "STOWE",
"state": "VT",
"postal_code": "05672",
"telephone_number": "802-253-4853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 MEDICAL VILLAGE DR",
"city": "NEWPORT",
"state": "VT",
"postal_code": "058558537",
"telephone_number": "802-334-3520"
}
],
"practiceLocations": [
{
"address_1": "1878 Mountain Road",
"address_purpose": "LOCATION",
"city": "Stowe",
"state": "VT",
"postal_code": "05672",
"country_code": "US",
"telephone_number": "802-253-4853",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "189 Prouty Dr",
"address_purpose": "LOCATION",
"city": "Newport",
"state": "VT",
"postal_code": "058559820",
"country_code": "US",
"telephone_number": "802-334-3520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEITH",
"first_name": "PATRICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2021-04-30",
"certification_date": "2021-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VT",
"license": "042-0010218",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "353937",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS MEDICARE",
"identifier": "080183802",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0VN2605",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VERMONT MANAGED CARE APEX",
"identifier": "4653401",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LADIES FIRST",
"identifier": "8000337",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00058268",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3389370",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.