Individual provider Active NPI

Ian Keith, DO

  • Family Medicine Physician
  • Urbana, OH
National Provider Identifier
1699417253
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.017201 Issued in OH
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

Updated by the provider on Oct 17, 2025

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 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, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20250215000160 MI Practitioner - General Practice 4082144324 Reassigns benefits to 1 organization
I20251002004384 OH Practitioner - Family Practice 4082144324 Reassigns benefits to 1 organization

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 Home health agency, Springfield, OH, CCN 367447
  • Memorial Hospital Hospital, Marysville, OH, CCN 360092

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Group Family Medicine Current Accepting new patients
Union County Physician Corporation CurrentSince Sep 25, 2025 Accepting new patients
Signify Health Medical Associates, PLLC General Practice CurrentSince Jan 1, 2025 Accepting new patients
Union County Physician Corporation CurrentSince Sep 25, 2025 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

  • Direct secure messaging: ikeith1591570@direct.osumc.edu
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.