KEITH R JR. SCHREFFLER (MD) – Emergency Medicine Physician, NPI 1013993351

KEITH R JR. SCHREFFLER (MD) is a healthcare provider. based in Chicago, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 01045385A (IN). The NPI Number for KEITH R JR. SCHREFFLER (MD) is 1013993351

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
KEITH R JR. SCHREFFLER (MD)
NPI
1013993351
Phone
(260) 969-1950
Address
# 774560, 4560 SOLUTIONS CENTER
Enumeration Date
19 December 2005
Last Update Date
9 February 2021

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2607242145
Graduation Year
1995 (31 years ago)
PAC ID
2466352026
Group Practice PAC ID
0941198253
Professional Enrollment ID
I20101008000825
Address ID
IN467332303DE1100XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,268 EMERGENCY MEDICINE in IN

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Provider Addresses for KEITH R JR. SCHREFFLER (MD)

  • # 774560, 4560 SOLUTIONS CENTER

    CHICAGO, IL 606774005

    Phone: (260) 969-1950

    Fax: (260) 918-2137

    Type: Mailing

  • Door 36, 1316, East 7th Street, Auburn, DeKalb County, Indiana, 46706, United States

    AUBURN, IN 467062523

    Phone: (260) 925-4600

    Type: Location

  • PO BOX 151

    DECATUR, IN 467330151

    Phone: (260) 724-2145

    Fax: (317) 957-2750

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-10-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20101008000825IEmergency MedicineINTBD

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 60677)

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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: 0941198253View full group profile
NameSpecialtyState
-IN
-IN
Mental Health CounselorIN
Emergency MedicineNE
Family PracticeIN
Mental Health CounselorIN
Clinical Social WorkerIN
Physician AssistantIN
O B S T E T R I C S/ G Y N E C O L O G YOH
Family PracticeIN

Reviews

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Frequently asked questions

What is the 10-digit NPI for KEITH R JR. SCHREFFLER (MD)?
KEITH R JR. SCHREFFLER (MD) — NPI 1013993351 — is the standard way to identify this listing.
Does the file indicate KEITH R JR. SCHREFFLER (MD) is practicing under active NPI?
Directory data currently reports KEITH R JR. SCHREFFLER (MD) as active.
What is KEITH R JR. SCHREFFLER (MD) best known for clinically?
Directory data describes KEITH R JR. SCHREFFLER (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect KEITH R JR. SCHREFFLER (MD) on a map?
Expect Chicago, Illinois as a primary anchor for KEITH R JR. SCHREFFLER (MD) unless the record lists multiple sites.
Why does KEITH R JR. SCHREFFLER (MD) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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