Individual provider Active NPI

Keith Wyche

  • Cardiovascular Disease Physician
  • Freehold, NJ
National Provider Identifier
1710989264
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA10968400 Issued in NJ
Practice address
901 W Main St Ste 205
Freehold, NJ 07728-2537
Phone
(732) 866-0800
Fax
(732) 866-0018
NPI assigned
Aug 15, 2005
Last updated
May 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA10968400 NJ Primary
Cardiovascular Disease Physician 207RC0000X 22925 SC

Addresses

Primary practice location

901 W Main St Ste 205
Freehold, NJ 07728-2537

Mailing address

379 Campus Dr FL 4
Somerset, NJ 08873-1161

Other practice location 1

2376 Cypress Cir
Suite 102
Conway, SC 29526-8964
Phone (843) 347-8953

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address keith.e.wyche@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20240717004928 NJ Practitioner - Cardiovascular Disease (Cardiology) 8729256391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Minnesota Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert Wood Johnson Physician EnterpriseGroup PAC ID 5597917633, 71 clinicians

Practice addresses (Care Compare)

901 W Main St
Suite 205
Freehold, NJ 07728-2537
Phone (732) 866-0800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
Quality
55.31
Promoting interoperability
99
Improvement activities
40
Cost
76.8

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
46.76
Promoting interoperability
100
Improvement activities
40
Cost
77.08

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
65.84
Promoting interoperability
100
Improvement activities
40
Cost
77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
301495NYMDLicensed Practical Nurse
22925SCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Specialists of Central Jersey Cardiovascular Disease CurrentSince May 26, 2024 Accepting new patients
Robert Wood Johnson Physician Enterprise Cardiovascular Disease CurrentSince May 27, 2024 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Phoenixville Clinic Company LLC Cardiovascular Disease Current Accepting new patients

Locations

901 W Main St
Ste 205
Freehold, NJ 07728
Phone (732) 866-0800

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

875 Poplar Church Rd
Ste 400
Camp Hill, PA 17011
Phone (717) 975-0900

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

824 Main St
Ste 306
Phoenixville, PA 19460
Phone (610) 644-7755

296 W Ridge Pike
Royersford, PA 19468
Phone (484) 706-9465

3025 Zinn Rd
Thorndale, PA 19372
Phone (610) 384-2211

301 S 7th Ave
Ste 2020
West Reading, PA 19611

Interoperability endpoints

  • Direct secure messaging: keith.e.wyche@upmcdirect.com

Organizations & group practices 5

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 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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1710989264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 CAMPUS DR FL 4",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST STE 205",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-866-0800",
            "fax_number": "732-866-0018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2376 Cypress Cir",
            "address_2": "SUITE 102",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295268964",
            "country_code": "US",
            "telephone_number": "843-347-8953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYCHE",
        "first_name": "KEITH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA10968400",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "22925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "keith.e.wyche@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.