Individual provider Active NPI

Keith David Langlois, MD

  • Surgery Physician
  • Ludington, MI
National Provider Identifier
1689080756
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301116881 Issued in MI
Practice address
7 Atkinson Dr Ste 200
Ludington, MI 49431-1917
Phone
(231) 843-3717
NPI assigned
Jul 9, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301116881 MI Primary

Addresses

Primary practice location

7 Atkinson Dr Ste 200
Ludington, MI 49431-1917

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Direct Messaging Address klanglois246717@epic00.shdirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20190618001724 MI Practitioner - General Surgery 2163649518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Atkinson Dr
Ludington, MI 49431-1906
Phone (231) 843-2591

7 Atkinson Dr
Ludington, MI 49431-1953

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy48
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux23
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301116881MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Medical Center of West Michigan CurrentSince Aug 5, 2019 Accepting new patients
Memorial Medical Center of West Michigan CurrentSince Aug 5, 2019 Accepting new patients
Spectrum Health Primary Care Partners Past Accepting new patients
Grant Medical Center PastSince Aug 1, 2019 Accepting new patients

Locations

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

5 Atkinson Dr
Ste 205
Ludington, MI 49431
Phone (231) 843-3717

7 Atkinson Dr
Ste 205
Ludington, MI 49431
Phone (231) 843-3487

7 Atkinson Dr
Ste 200
Ludington, MI 49431
Phone (231) 843-2664

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

5 Atkinson Dr
Ludington, MI 49431
Phone (231) 733-7777

Interoperability endpoints

  • Direct secure messaging: klanglois246717@epic00.shdirect.org
  • Direct secure messaging: klanglois246717@epic00.corewelldirect.org

Organizations & group practices 4

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": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1689080756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ATKINSON DR STE 200",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311917",
            "telephone_number": "231-843-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGLOIS",
        "first_name": "KEITH",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-09",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301116881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7 Atkinson Dr Ste 200",
            "city": "Ludington",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494311917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klanglois246717@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "7 Atkinson Dr Ste 200",
            "city": "Ludington",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494311917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ludington, MI

Sources for this page

Verify at the official NPI Registry.