Individual provider Active NPI

Keith Allen Dufendach, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Pittsburgh, PA
National Provider Identifier
1821525429
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
4301513912 Issued in MI
Practice address
200 Lothrop St
Pittsburgh, PA 15213-2582
Phone
(412) 648-2000
Fax
(412) 648-6358
NPI assigned
May 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 4301513912 MI Primary

Addresses

Primary practice location

200 Lothrop St
Pittsburgh, PA 15213-2582

Mailing address

200 Lothrop St
Pittsburgh, PA 15213-2582
Phone (412) 648-2000

Other practice location 1

3600 Forbes Ave Ste 140
Pittsburgh, PA 15213-3410
Phone (412) 647-6340

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UPMChospitals@upmcdirect.com Direct

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
I20250604000521 MI Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 2365719804 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
Perelman School of Med at the University of Pennsylvania, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Partners Sub-Specialty ServicesGroup PAC ID 3274504105, 33 clinicians
Metropolitan HospitalGroup PAC ID 5597651836, 421 clinicians

Practice addresses (Care Compare)

1560 E Sherman Blvd
Suite 309
Muskegon, MI 49444-1850
Phone (231) 672-8643

2122 Health Dr SW
Suite 133
Wyoming, MI 49519-9698
Phone (616) 252-5950

Hospital & facility affiliations

  • Porter Hills Home Health Care Home health agency, Grand Rapids, MI, CCN 237255
  • University of Michigan Health - West Hospital, Wyoming, MI, CCN 230236

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Hospital CurrentSince Jun 1, 2025 Accepting new patients
Advantage Health/Saint Mary'S Medical Group Current Accepting new patients
Mercy Health Partners Sub-Specialty Services Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jul 1, 2025 Accepting new patients
Advantage Health Saint Mary'S Medical Group CurrentSince Jul 1, 2025 Accepting new patients
Advantage Health Saint Mary'S Medical Group CurrentSince Jul 1, 2025 Accepting new patients

Locations

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

310 Lafayette Ave SE
Ste 300
Grand Rapids, MI 49503
Phone (616) 685-3450

310 Lafayette Ave SE
Ste 301
Grand Rapids, MI 49503
Phone (616) 685-6900

1277 Mercy Dr
Slp Ctr
Muskegon, MI 49444
Phone (231) 672-6186

1560 E Sherman Blvd
Ste 309
Muskegon, MI 49444
Phone (231) 672-8643

2122 Health Dr SW
Ste 133
Wyoming, MI 49519
Phone (616) 252-4139

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

Interoperability endpoints

  • Direct secure messaging: kdufendach4459280@direct.trinity-health.org

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 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": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1821525429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132582",
            "telephone_number": "412-648-2000",
            "fax_number": "412-648-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132582",
            "telephone_number": "412-648-2000",
            "fax_number": "412-648-6358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Forbes Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152133410",
            "country_code": "US",
            "telephone_number": "412-647-6340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUFENDACH",
        "first_name": "KEITH",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-15",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "4301513912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMChospitals@upmcdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "600 Grant St Fl 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.