Keith W Vancuran, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2008006965 Issued in MO

Practice address

1723 Broadway St
Suite 205
Cape Girardeau, MO 63701-4566

Phone

(573) 331-7930

NPI assigned

Dec 28, 2006

Last updated

Dec 13, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV, NY, NH, WI, AL5 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 5

Specialty

Family Practice

Education

University of Utah School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newgen Alabama Billing LLCGroup PAC ID 9133657208, 99 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Helen Keller Hospital Hospital, Sheffield, AL, CCN 010019

Merit-based Incentive Payment System (MIPS)

Final score

90.65 of 100Reported as group

Quality

87.9

Promoting interoperability

100

Improvement activities

40

Cost

73.87

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kvancuran292557@direct.mmc.mainehealth.org
• Direct secure messaging: kvancuran458062@direct.lhs.org

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.

• Newgen Alabama Billing LLC

  • Emergency Medicine Physician
  • Ozark, AL
  • NPI 1013744424
  Medicare reassignment Care Compare group NPD
• Buffalo Emergency Associates LLP

  • Emergency Medicine Physician
  • Williamsville, NY
  • NPI 1508816521
  Medicare reassignment NPD
• Lrghealthcare

  dba LRGH Professional Billing Services

  • Family Medicine Physician
  • Laconia, NH
  • NPI 1700976032
  Medicare reassignment NPD
• Northwest Emergency Physician Group

  • Emergency Medicine Physician
  • Sheffield, AL
  • NPI 1205197951
  Medicare reassignment NPD
• Port City Emergency Physicians LLP

  • Emergency Medicine Physician
  • Oswego, NY
  • NPI 1134370547
  Medicare reassignment NPD
• Emergency Medicine Specialists, S.C.

  • Emergency Medicine Physician
  • Milwaukee, WI
  • NPI 1568413524
  Medicare reassignment
• Concord Hospital-Franklin

  dba Concord Hospital-Franklin Swing Bed

  • Critical Access Hospital
  • Franklin, NH
  • NPI 1114005535
  NPD
• Port City Emergency Physicians LLP

  • Emergency Medicine Physician
  • Hamilton, NY
  • NPI 1316395460
  NPD
• Integrated Therapeutic Massage LLC

  • Massage Therapist
  • Milwaukee, WI
  • NPI 1144994096
  NPD (past)
• Washington Hospital

  dba Emergency Medicine Washington Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Washington, PA
  • NPI 1639133861
  NPD (past)

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

• HH Health System - Shoals LLC

  dba Helen Keller Hospital

  • General Acute Care Hospital
  • Sheffield, AL
  • NPI 1508952235
  Care Compare affiliation

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1982760823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N62W13520 SUNBURST DR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530518335",
            "telephone_number": "573-331-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 BROADWAY ST",
            "address_2": "SUITE 205",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014566",
            "telephone_number": "573-331-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCURAN",
        "first_name": "KEITH",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2008006965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982760823",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI LICENSE",
            "identifier": "2008006965",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Usv Optical Inc.
• Krista N Valentine, PTA
• Joanna Vamplew, PHARMD
• Andrea S Van Horn
• Cheri A Vance
• Jamie Vandermierden
• Autumn Rose Vangennip, RDH
• Sydney Justine Vangennip, MSN, APRN, FNP-C
• Torie Nicole Vanpool, M.A, P.L.P.C
• James Vanpopering, D.O.

• Family Medicine Physician in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.