Individual provider Active NPI

Keith A Rouse, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lewisburg, PA
National Provider Identifier
1558374124
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC004509L Issued in PA
Practice address
210 JPM Rd Ste 300
Lewisburg, PA 17837-9367
Phone
(570) 524-4446
Fax
(570) 768-4623
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC004509L PA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 885 GA

Addresses

Primary practice location

210 JPM Rd Ste 300
Lewisburg, PA 17837-9367

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

191 Roosevelt Ave Ste 2000
Selinsgrove, PA 17870-7998
Phone (570) 524-4446

Other practice location 2

310 Eisenhower Dr
BLDG 7
Savannah, GA 31406-2632
Phone (912) 355-6503

Other practice location 3

289 S Market St
Elysburg, PA 17824-9737
Phone (570) 524-4446

Other practice location 4

435 River Ave Ste 2
Williamsport, PA 17701-3722
Phone (570) 524-4446

Other practice location 5

112 N 15th St Ste 1000
Lewisburg, PA 17837-1224
Phone (570) 524-4446

Other practice location 6

7095 Westbranch Hwy Ste 1300
Lewisburg, PA 17837-6865
Phone (570) 768-3100

Other identifiers 1

IdentifierTypeStateIssuer
000880514AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120202000466 GA Practitioner - Podiatry 1759357767
I20260102001164 PA Practitioner - Podiatry 1759357767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

210 JPM Rd
Lewisburg, PA 17837-9367
Phone (570) 522-4299

25 Monument Rd
York, PA 17403-5073

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue17
Removal of nail tissue888
Removal or shaving of skin growth741
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
885GAMDAddiction (Substance Use Disorder) Psychologist
SC004509LPAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jan 26, 2026 Accepting new patients
Wellspan Medical Group CurrentSince Jan 26, 2026 Accepting new patients
Savannah Outpatient Foot and Ankle Surgery Center, LLC PastSince Sep 9, 2004 Accepting new patients
Wellspan Medical Group Past Accepting new patients
Candler Medical Group, Inc. - Islands Past Accepting new patients

Locations

289 S Market St
Elysburg, PA 17824
Phone (570) 672-9885

7095 Westbranch Hwy
Ste 1300
Lewisburg, PA 17837
Phone (570) 768-3100

210 Jpm Rd
Ste 300
Lewisburg, PA 17837

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: drrousek@direct.sjchs.org
  • Direct secure messaging: keith.rouse@sjcmg.eclinicaldirectplus.com

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1558374124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JPM RD STE 300",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379367",
            "telephone_number": "570-524-4446",
            "fax_number": "570-768-4623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "191 Roosevelt Ave Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Selinsgrove",
            "state": "PA",
            "postal_code": "178707998",
            "country_code": "US",
            "telephone_number": "570-524-4446",
            "fax_number": "570-768-4623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Eisenhower Dr",
            "address_2": "BLDG 7",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314062632",
            "country_code": "US",
            "telephone_number": "912-355-6503",
            "fax_number": "912-355-9837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "289 S Market St",
            "address_purpose": "LOCATION",
            "city": "Elysburg",
            "state": "PA",
            "postal_code": "178249737",
            "country_code": "US",
            "telephone_number": "570-524-4446",
            "fax_number": "570-768-4623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "435 River Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177013722",
            "country_code": "US",
            "telephone_number": "570-524-4446",
            "fax_number": "570-768-4623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 N 15th St Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178371224",
            "country_code": "US",
            "telephone_number": "570-524-4446",
            "fax_number": "570-768-4623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7095 Westbranch Hwy Ste 1300",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178376865",
            "country_code": "US",
            "telephone_number": "570-768-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUSE",
        "first_name": "KEITH",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC004509L",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "885",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000880514A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

Verify at the official NPI Registry.