KEITH RAPHAEL DORAM (M.D.) – Geriatric Medicine (Internal Medicine) Physician, NPI 1720306756
Geriatric Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,517 INTERNAL MEDICINE in IN
Provider Addresses for KEITH RAPHAEL DORAM (M.D.)
1907 W Sycamore St
Kokomo, IN 469015148
Phone: (765) 236-8888
Fax: (765) 266-8880
Type: Location
2015 Jackson St
Anderson, IN 460164337
Phone: (765) 683-3213
Fax: (765) 683-3229
Type: Location
395 Westfield Rd
Noblesville, IN 460601425
Phone: (317) 776-7407
Fax: (317) 776-7361
Type: Location
12315 HANCOCK ST STE 24
CARMEL, IN 460325885
Phone: (317) 708-3732
Fax: (888) 316-7962
Type: Mailing
17300 WESTFIELD BLVD STE 110
WESTFIELD, IN 460741363
Phone: (317) 763-1019
Fax: (317) 763-1082
Type: Location
2100 Douglas Blvd
Roseville, CA 956613804
Phone: (916) 781-4627
Fax: (916) 783-9909
Type: Location
441 N Wabash Ave
Marion, IN 469522612
Phone: (765) 660-6670
Fax: (765) 671-3392
Type: Location
1000 E Main St
Danville, IN 461221948
Phone: (317) 718-7971
Fax: (317) 718-7973
Type: Location
2001 W 86th St
Indianapolis, IN 462601902
Phone: (317) 338-9067
Fax: (317) 338-9087
Type: Location
3641 GHISLAINE CT
ROSEVILLE, CA 957479152
Phone: (916) 878-0663
Type: Mailing
2100 DOUGLAS BLVD
ROSEVILLE, CA 956613804
Phone: (916) 781-4627
Fax: (916) 783-9909
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $426.
Total Amount is formed as General ($426) + Research ($0) + Ownership ($0) = $426.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Smith+Nephew, Inc. ($168).
Total Amount
$426
General + Research + Ownership
Payments
12
Total payment records
General Amount
$426
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $168 |
| Kerecis Limited | $106 |
| Tactile Systems Technology Inc | $95 |
| Urgo Medical North America, LLC | $20 |
| ABBVIE INC. | $19 |
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: 2019-06-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170607001366 | I | Internal Medicine | OH | TBD |
| I20190607001843 | I | Internal Medicine | IN | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 303 | 101 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 187 | 80 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 120 | 58 | $0 |
| 99183 | Management of oxygen chamber therapy | 103 | 21 | $0 |
| 17250 | Application of chemical to stop tissue regrowth in wound | 61 | 27 | $0 |
Insurance plans in this area (ZIP 46901)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| General Surgery, Thoracic Surgery | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.