Individual provider Active NPI

Keith A McLean, MD

  • Cardiovascular Disease Physician
  • Madison, IN
National Provider Identifier
1497813927
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01089766A Issued in IL
Practice address
630 Broadway St Ste 1a
Madison, IN 47250-3310
Phone
(502) 629-2935
Fax
(502) 629-2932
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01089766A IL Primary
Cardiovascular Disease Physician 207RC0000X 55323 KY

Addresses

Primary practice location

630 Broadway St Ste 1a
Madison, IN 47250-3310

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other practice location 1

800 Rose St
Lexington, KY 40536-0294
Phone (859) 323-0295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, KY, IN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040526000896 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1254312291
I20210331001247 KY Practitioner - Cardiovascular Disease (Cardiology) 1254312291 Reassigns benefits to 3 organizations
I20230817000639 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1254312291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, shared by 2 NPIs, 1,368 clinicians
Kentucky Medical Services Foundation, IncGroup PAC ID 5698689909, 949 clinicians

Practice addresses (Care Compare)

630 Broadway St
Suite 1a
Madison, IN 47250-3310
Phone (502) 629-2935

6420 Dutchmans Pkwy
Suite 200
Louisville, KY 40205-3373
Phone (502) 891-8300

800 Rose St
Lexington, KY 40536-0001
Phone (859) 323-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01089766AILMDCardiovascular Disease Physician
55323KYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PMR Ky Holding, LLC CurrentSince Feb 1, 2022 Accepting new patients
Community Medical Associates, Inc. Internal Medicine Current Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Kentucky Medical Services Foundation, Inc Internal Medicine CurrentSince Feb 13, 2026 Accepting new patients
Community Medical Associates, Inc. CurrentSince Oct 28, 2023 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Loyola University Physician Foundation Past Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

1263 Hospital Dr NW
Ste 210
Corydon, IN 47112
Phone (502) 636-7242

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

630 Broadway St
Ste 1A
Madison, IN 47250
Phone (502) 629-2935

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

6420 Dutchmans Pkwy
Ste 200
Louisville, KY 40205
Phone (502) 891-8333

4420 Dixie Hwy
Ste 118
Louisville, KY 40216
Phone (502) 447-3448

3939 7th Street Rd
Louisville, KY 40216
Phone (502) 775-1211

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

2406 W Broadway
Louisville, KY 40211
Phone (502) 775-1211

Interoperability endpoints

  • Direct secure messaging: kmclean270961@direct.nortonhealthcare.org

Organizations & group practices 9

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.

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1497813927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 BROADWAY ST STE 1A",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472503310",
            "telephone_number": "502-629-2935",
            "fax_number": "502-629-2932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Rose St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360294",
            "country_code": "US",
            "telephone_number": "859-323-0295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "KEITH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "01089766A",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "55323",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, IN

Sources for this page

Verify at the official NPI Registry.