Individual provider Active NPI

Keith Edward Segall, DO

  • Family Medicine Physician
  • Warsaw, MO
National Provider Identifier
1639245368
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0106518 Issued in MO
Practice address
17571 N Dam Access Rd
Warsaw, MO 65355-6396
Phone
(660) 438-2717
Fax
(660) 438-2313
NPI assigned
Nov 27, 2006
Last updated
Mar 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0106518 MO Primary

Addresses

Primary practice location

17571 N Dam Access Rd
Warsaw, MO 65355-6396

Mailing address

305 W Main St
Sedalia, MO 65301-3821
Phone (660) 310-0909

Other identifiers 8

IdentifierTypeStateIssuer
13680OtherGROUP HEALTH PLAN
1904V1471OtherHEALTHCARE USA
257668OtherMOHEALTHLINK
G00218OtherMOMERCY HEALTH PLAN
0120039OtherUNITED HEALTHCARE
V410OtherMOMISSOURI CARE
10048OtherMOBLUE CROSS
247757602MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20040331000436 MO Practitioner - Family Practice 9739084757 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
R Franklin University of Med & Sci/Chicago Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Health Care Clinic IncGroup PAC ID 8224926092, shared by 7 NPIs, 31 clinicians

Practice addresses (Care Compare)

1109 W Clay Rd
Versailles, MO 65084-1177
Phone (573) 378-2349

17571 N Dam Access Rd
Katy Trail Community Health
Warsaw, MO 65355-6396
Phone (660) 438-2717

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0106518MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Care Clinic Inc CurrentSince Oct 15, 2024 Accepting new patients
Regional Health Care Clinic, Inc Current Accepting new patients
Jefferson City Medical Group, P.C. Current Accepting new patients
Jefferson City Medical Group, P.C. CurrentSince Aug 28, 2023 Accepting new patients
Regional Health Care Clinic, Inc CurrentSince Oct 1, 2024 Accepting new patients
Regional Health Care Clinic, Inc CurrentSince Oct 1, 2024 Accepting new patients
Jefferson City Medical Group, P.C. Family Medicine CurrentSince Aug 28, 2023 Accepting new patients
Jefferson City Medical Group, P.C. Current Accepting new patients
Regional Health Care Clinic Inc Current Accepting new patients
Callaway Emergency Physicians, LLC Past Accepting new patients

Locations

500 S Keeney St
Cole Camp, MO 65325
Phone (660) 668-3751

350 Country Meadow Ln
Fulton, MO 65251
Phone (573) 634-4878

401 W Pettis St
Green Ridge, MO 65332
Phone (660) 527-3315

1241 W Stadium Blvd
Jefferson Cty, MO 65109
Phone (573) 556-5771

1735 Elm Ct
Jefferson Cty, MO 65101
Phone (573) 634-4878

1825 Atchison Ave
Marshall, MO 65340
Phone (660) 886-3434

305 W Main St
Sedalia, MO 65301
Phone (660) 310-0909

821 Westwood Dr
Sedalia, MO 65301

41569 Ivy Bend Rd
Stover, MO 65078
Phone (877) 733-5824

701 N Oak St
Stover, MO 65078
Phone (573) 377-2217

1109 W Clay Rd
Versailles, MO 65084
Phone (573) 378-2349

913 W Newton St
Versailles, MO 65084
Phone (573) 378-4231

17571 N Dam Access Rd
Warsaw, MO 65355
Phone (660) 428-1280

Organizations & group practices 10

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 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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1639245368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W MAIN ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653013821",
            "telephone_number": "660-310-0909",
            "fax_number": "888-979-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17571 N DAM ACCESS RD",
            "city": "WARSAW",
            "state": "MO",
            "postal_code": "653556396",
            "telephone_number": "660-438-2717",
            "fax_number": "660-438-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGALL",
        "first_name": "KEITH",
        "middle_name": "EDWARD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "D0106518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "13680",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE USA",
            "identifier": "1904V1471",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "257668",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY HEALTH PLAN",
            "identifier": "G00218",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0120039",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI CARE",
            "identifier": "V410",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "10048",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "247757602",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, MO

Sources for this page

Verify at the official NPI Registry.