Keith Raphael Doram, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

01079816A Issued in IN

Practice address

17300 Westfield Blvd Ste 110
Westfield, IN 46074-1363

Phone

(317) 763-1019

Fax

(317) 763-1082

NPI assigned

May 14, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, IN2 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

Specialty

Internal Medicine

Education

Indiana University School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kible Health PAGroup PAC ID 0941722474, 21 clinicians

Outpatient Integrated Strategies, LLCGroup PAC ID 9032471354, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marion General Hospital Hospital, Marion, IN, CCN 150011
• Ascension St Vincent Kokomo Hospital, Kokomo, IN, CCN 150010
• Decatur County Memorial Hospital Hospital, Greensburg, IN, CCN 151332
• Ascension St Vincent Anderson Hospital, Anderson, IN, CCN 150088
• Baylor University Medical Center Hospital, Dallas, TX, CCN 450021

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kdoram335856@direct-prd.stelizabeth.com

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.

• Outpatient Integrated Strategies, LLC

  • Gerontology Nurse Practitioner
  • Carmel, IN
  • NPI 1205342235
  Medicare reassignment Care Compare group NPD
• Ameriwound LLC

  • Contractor
  • Mayfield Heights, OH
  • NPI 1740535988
  Medicare reassignment NPD
• Kible Health, P.a.

  • Geriatric Medicine (Family Medicine) Physician
  • Miami, FL
  • NPI 1578369641
  Care Compare group
• Ameriwound Physicians in LLC

  • Specialist
  • Whiting, IN
  • NPI 1801312863
  NPD
• Lehigh Valley Physician Group

  • Transplant Surgery Physician
  • Allentown, PA
  • NPI 1457309650
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Decatur County Memorial Hospital

  • Critical Access Hospital
  • Greensburg, IN
  • NPI 1952300477
  Care Compare affiliation
• Marion General Hospital

  • General Acute Care Hospital
  • Gas City, IN
  • NPI 1760186373
  Care Compare affiliation
• Marion General Hospital

  • General Acute Care Hospital
  • Marion, IN
  • NPI 1770679201
  Care Compare affiliation
• Marion General Hospital

  • Nutrition Support Registered Nurse
  • Marion, IN
  • NPI 1861578072

  Hospital

  Care Compare affiliation
• Marion General Hospital

  • Land Ambulance
  • Marion, IN
  • NPI 1932295466

  Hospital

  Care Compare affiliation
• St. Joseph Hospital & Health Center, Inc.

  • General Acute Care Hospital
  • Kokomo, IN
  • NPI 1780625442
  Care Compare affiliation
• St. Vincent Anderson Regional Hospital, Inc.

  • General Acute Care Hospital
  • Anderson, IN
  • NPI 1679578850
  Care Compare affiliation
• Baylor University Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1447250253
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1720306756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12315 HANCOCK ST STE 24",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325885",
            "telephone_number": "317-708-3732",
            "fax_number": "888-316-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 WESTFIELD BLVD STE 110",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460741363",
            "telephone_number": "317-763-1019",
            "fax_number": "317-763-1082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Douglas Blvd",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956613804",
            "country_code": "US",
            "telephone_number": "916-781-4627",
            "fax_number": "916-783-9909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "441 N Wabash Ave",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IN",
            "postal_code": "469522612",
            "country_code": "US",
            "telephone_number": "765-660-6670",
            "fax_number": "765-671-3392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Main St",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "IN",
            "postal_code": "461221948",
            "country_code": "US",
            "telephone_number": "317-718-7971",
            "fax_number": "317-718-7973",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 W 86th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462601902",
            "country_code": "US",
            "telephone_number": "317-338-9067",
            "fax_number": "317-338-9087",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1907 W Sycamore St",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469015148",
            "country_code": "US",
            "telephone_number": "765-236-8888",
            "fax_number": "765-266-8880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2015 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460164337",
            "country_code": "US",
            "telephone_number": "765-683-3213",
            "fax_number": "765-683-3229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "395 Westfield Rd",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460601425",
            "country_code": "US",
            "telephone_number": "317-776-7407",
            "fax_number": "317-776-7361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORAM",
        "first_name": "KEITH",
        "middle_name": "RAPHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-14",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "G052927",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD067852L",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "DE",
            "license": "C1-0007713",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IN",
            "license": "01079816A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dr Graeme Van Matre Inc
• Molly Susan Drayer

• Geriatric Medicine (Internal Medicine) Physician in Westfield, IN
• Providers in Westfield, IN by specialty
• Geriatric Medicine (Internal Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.