Active NPI
Ian Keith, DO
- Family Medicine Physician
- Urbana, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34.017201
- Practice address
- 1958 E US Highway 36 Ste C
Urbana, OH 43078-9799 - Phone
- (937) 652-1834
- NPI assigned
- Apr 12, 2022
- 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 | 34.017201 | OH | Primary |
Addresses
Primary practice location
1958 E US Highway 36 Ste C
Urbana, OH 43078-9799
Mailing address
1958 E US Highway 36 Ste C
Urbana, OH 43078-9799
Phone (937) 652-1834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Pikeville, Kentucky College of Osteopathic Med, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1958 E US Hwy 36
Urbana, OH 43078-9799
Phone (937) 578-2417
Hospital & facility affiliations
- Community Mercy Home Care, LLC
- Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Medical Group | Family Medicine | Current | Accepting new patients |
| Union County Physician Corporation | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | General Practice | Current | Accepting new patients |
| Union County Physician Corporation | Current | Accepting new patients |
Locations
1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000
13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620
388 Damascus Rd
Marysville, OH 43040
Phone (937) 578-2626
1958 E US Highway 36
Ste C
Urbana, OH 43078
Phone (937) 652-1834
1958 E US Highway 36
Urbana, OH 43078
Phone (937) 652-1834
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
Interoperability endpoints
- ikeith1591570@direct.osumc.edu
- ikeith@direct.mhc.net
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.
-
- Otolaryngology Physician
- Marysville, OH
- NPI 1992941108
-
- Occupational Medicine Physician
- Marysville, OH
- NPI 1497300172
-
- Family Medicine Physician
- Traverse City, MI
- NPI 1861047060
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Springfield, OH
- NPI 1790779221
-
- General Acute Care Hospital
- Marysville, OH
- NPI 1720159338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1699417253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1958 E US HIGHWAY 36 STE C",
"city": "URBANA",
"state": "OH",
"postal_code": "430789799",
"telephone_number": "937-652-1834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1958 E US HIGHWAY 36 STE C",
"city": "URBANA",
"state": "OH",
"postal_code": "430789799",
"telephone_number": "937-652-1834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEITH",
"first_name": "IAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-12",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34.017201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Urbana, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.