Philip A Keith, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Berlin, WI
NPI 1831275890 · NPPES record last updated Jan 29, 2026
Key facts
- NPI
- 1831275890
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 47873-020 (WI)
- Practice address
- 225 Memorial Dr
Berlin, WI 54923-1243 - Phone
- (920) 361-5524
- Fax
- (920) 361-5486
- NPI assigned
- Oct 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- University of Cincinnati College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Radiology Associates of Appleton SC
Premier Radiology Wisconsin LLC
Baycare Clinic LLP
Medical X-Ray Consultants LTD
Practice addresses (Care Compare)
100 County Rd B
Shawano, WI 54166-7072
Phone (920) 358-1520
10180 Washington Ave
Mount Pleasant, WI 53177-1604
Phone (414) 973-7830
1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 358-1520
2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone (920) 288-8000
3916 N Intertech Court
Appleton, WI 54913-6956
Phone (920) 358-1520
3916 N Intertech CT
Appleton, WI 54913-6957
Phone (715) 832-2200
5471 W Waterford LN
Appleton, WI 54913-8510
Phone (920) 358-1520
824 E Forest Ave
Neenah, WI 54956-2831
Phone (715) 832-2200
900 W Clairemont Ave
Eau Claire, WI 54701-6122
Phone (715) 858-1777
Hospital & facility affiliations
- Aurora Baycare Medical Ctr
- Ascension All Saints Hospital
- Ascension Columbia St Marys Hospital Milwaukee
- Ascension SE Wisconsin Hospital
- Thedacare Regional Medical Center - Appleton Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090723000368 | WI | Practitioner - Diagnostic Radiology | 1557434354 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47873-020 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thedacare, Incorporated | Current |
Accepting new patients | |
| Medical X-Ray Consultants, LTD | Diagnostic Radiology | Current |
Accepting new patients |
| Tomah Memorial Hospital Inc | Current |
Accepting new patients | |
| Premier Radiology Wisconsin, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Radiology Associates of Appleton, S.C. | Diagnostic Radiology | Current |
Accepting new patients |
| Baycare Clinic LLP | Current |
Accepting new patients | |
| Specialists in Medical Imaging, SC | Diagnostic Radiology | Current |
Accepting new patients |
| Tomah Memorial Hospital Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Baycare Clinic LLP | Current |
Accepting new patients | |
| Tomah Memorial Hospital Inc | Current |
Accepting new patients | |
| Wisconsin Radiology Specialists, S C | Past | Accepting new patients | |
| University of Virginia Physicians Group | Past |
Accepting new patients | |
| Radiology Associates of Appleton, S.C. | Past |
Accepting new patients | |
| Medical Xray Consultants, LTD | Past |
Accepting new patients |
Locations (25 of 34)
1000 Oakleaf Way
Altoona, WI 54720
Phone (715) 831-8130
2500 E Capitol Dr
Appleton, WI 54911
Phone (920) 738-4600
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800
225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313
19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000
1705 16th Ave
Cumberland, WI 54829
Phone (715) 822-7222
900 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 717-4121
1720 Harding Ave
Eau Claire, WI 54701
10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700
375 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 326-1500
257 W Saint George Ave
Grantsburg, WI 54840
Phone (715) 463-5353
2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388
2733 S Ridge Rd
Green Bay, WI 54304
Phone (920) 497-6200
1035 Kepler Dr
Green Bay, WI 54311
2581 Development Dr
Green Bay, WI 54311
Phone (920) 347-0400
N88W14275 Main St
Menomonee Fls, WI 53051
Phone (262) 415-2001
12831 N Port Washington Rd
Mequon, WI 53097
Phone (262) 643-1300
3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000
4935 S 76th St
Milwaukee, WI 53220
Phone (414) 567-3211
5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089
2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932
10180 Washington Ave
Ste 101
Mount Pleasant, WI 53177
Phone (414) 973-7830
3803 Spring St
Mount Pleasant, WI 53405
Phone (262) 687-3973
10180 Washington Ave
Mount Pleasant, WI 53177
Phone (414) 769-4040
Interoperability endpoints
- pkeith120655@direct.thedacare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 47873-020 | WI | Yes |
Addresses
Primary practice location
225 Memorial Dr
Berlin, WI 54923-1243
Mailing address
1035 Kepler Dr
Green Bay, WI 54311-8320
Phone (920) 490-9046
Other practice location 1
2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone (920) 288-4848
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831275890 | Medicaid | WI |
Other providers in Berlin, WI
- Michelle A Jensen
- David Earl Johanknecht
- Melissa A Johnston
- David R Jones
- Dale E Kanak
- Kristin Klassa
- Diane Marie Klika
- Benjamin John Kozloski
- Keith Anthony Krause
- Stephanie Krause
All providers in Berlin, WI · Diagnostic Radiology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.