NPIMap

Individual provider Active NPI

Jon A. Keim, MD

  • Family Medicine Physician
  • Trappe, PA
National Provider Identifier
1902840945
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD048414L Issued in PA
Practice address
545 W Main St
Suite 11
Trappe, PA 19426
Phone
(610) 489-9374
Fax
(610) 489-6418
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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 MD048414L PA Primary

Addresses

Primary practice location

545 W Main St
Suite 11
Trappe, PA 19426

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 968-5700

Other practice location 1

545 W Main St
Suite 11
Trappe, PA 19426-1981
Phone (610) 489-9374

Other identifiers 12

IdentifierTypeStateIssuer
0331154000OtherPAAMERIHEALTH/INTERCOUNTY
163035OtherPAHIGHMARK BLUE SHIELD
2125273OtherPAALLIANCE/OPT CHC (MAMSI)
4291748OtherPAAETNA PPO
0015091240007MedicaidPA
0696535OtherPACIGNA HMO/PPO
080184959OtherPARRM
11045632OtherPAMULTIPLAN
3224116OtherPAAETNA HMO
11025245OtherPACAQH ID#
1164062OtherPAKEYSTONE MERCY
0331154000OtherPAIBC - PC/KHPE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101122000459 PA Practitioner - Family Practice 0042406613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patient First Pennsylvania Medical Group PLLC 132 clinicians

Practice addresses (Care Compare)

713 Bethlehem Pike
Montgomeryville, PA 18936-9602
Phone (267) 695-3944

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Pennsylvania Medical Group PLLC Family Medicine Current Accepting new patients
Patient First Pennsylvania Medical Group PLLC Family Medicine CurrentSince May 5, 2018 Accepting new patients
Patient First Pennsylvania Medical Group PLLC Family Medicine CurrentSince May 5, 2018 Accepting new patients
Medexpress Urgent Care, PC - Monaca Past Accepting new patients
Enps Mercy Primary Care at Plymouth Meeting Family Medicine Past Accepting new patients
Montgomery County Treas Court House Past Accepting new patients

Locations

5125 Jonestown Rd
Ste 105
Harrisburg, PA 17112
Phone (717) 943-1566

713 Bethlehem Pike
Montgomeryvle, PA 18936
Phone (267) 695-3944

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1902840945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 W MAIN ST",
            "address_2": "SUITE 11",
            "city": "TRAPPE",
            "state": "PA",
            "postal_code": "19426",
            "telephone_number": "610-489-9374",
            "fax_number": "610-489-6418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 W Main St",
            "address_2": "Suite 11",
            "address_purpose": "LOCATION",
            "city": "Trappe",
            "state": "PA",
            "postal_code": "194261981",
            "country_code": "US",
            "telephone_number": "610-489-9374",
            "fax_number": "610-489-6418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEIM",
        "first_name": "JON",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD048414L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/INTERCOUNTY",
            "identifier": "0331154000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "163035",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE/OPT CHC (MAMSI)",
            "identifier": "2125273",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4291748",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015091240007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO/PPO",
            "identifier": "0696535",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRM",
            "identifier": "080184959",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "11045632",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3224116",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID#",
            "identifier": "11025245",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1164062",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC - PC/KHPE",
            "identifier": "0331154000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trappe, PA

Sources for this page

Verify at the official NPI Registry.