KEITH RAYMOND BISCHOFF (PA-C) – Physician Assistant, NPI 1326073214

KEITH RAYMOND BISCHOFF (PA-C) is a healthcare provider. based in Hollywood, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 25MP00146500 (NJ). The NPI Number for KEITH RAYMOND BISCHOFF (PA-C) is 1326073214

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
KEITH RAYMOND BISCHOFF (PA-C)
NPI
1326073214
Phone
(954) 265-5969
Address
1150 N 35th Ave
Enumeration Date
11 July 2006
Last Update Date
4 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3059187050
Graduation Year
2005 (21 years ago)
PAC ID
5597785840
Group Practice PAC ID
4789750118
Professional Enrollment ID
I20201109000021
Address ID
FL331801235AV21097CTXX406

Contacts

Secure Messaging
KEITH.BISCHOFF@hca4.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for KEITH RAYMOND BISCHOFF (PA-C)

  • 1150 N 35th Ave

    SUITE 600

    Hollywood, FL 330215424

    Phone: (954) 265-5969

    Fax: (954) 965-3599

    Type: Location

  • 2900, Corporate Way, Miramar, Broward County, Florida, 33025, United States

    DOOR D

    MIRAMAR, FL 330253925

    Phone: (954) 276-5685

    Fax: (954) 985-7074

    Type: Mailing

  • 1 RIVERVIEW PLZ

    RIVERVIEW MEDICAL CENTER

    RED BANK, NJ 077011864

    Phone: (732) 530-2238

    Fax: (732) 530-3808

    Type: Location

  • 1150, North 35th Avenue, West Hollywood, Hollywood, Broward County, Florida, 33021, United States

    SUITE 600

    HOLLYWOOD, FL 33021

    Phone: (954) 265-5969

    Fax: (954) 965-3599

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $172.

Total Amount is formed as General ($172) + Research ($0) + Ownership ($0) = $172.

Last reported payment date: 2024-04-11 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($142).

Total Amount

$172

General + Research + Ownership

Payments

3

Total payment records

General Amount

$172

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-11-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070713000417IPhysician AssistantNJTBD
I20201109000021IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33021)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789750118View full group profile
NameSpecialtyState
Critical Care (Intensivists), General SurgeryOK
Physician AssistantTN
Physician AssistantFL
General Surgery, Critical Care (Intensivists)FL
General SurgeryFL
Orthopedic SurgeryNM
Critical Care (Intensivists)FL
-FL
-FL
Physician AssistantFL

Reviews

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Frequently asked questions

What unique ID ties claims to KEITH RAYMOND BISCHOFF (PA-C)?
NPI 1326073214 is assigned to KEITH RAYMOND BISCHOFF (PA-C) under the national enumeration system.
Does this profile mean KEITH RAYMOND BISCHOFF (PA-C) is currently active?
Yes — KEITH RAYMOND BISCHOFF (PA-C) appears active in the national provider directory.
What does KEITH RAYMOND BISCHOFF (PA-C) treat or focus on?
Patients typically see KEITH RAYMOND BISCHOFF (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place KEITH RAYMOND BISCHOFF (PA-C)?
The snapshot lists Hollywood, Florida for KEITH RAYMOND BISCHOFF (PA-C); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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