KATHERINE ANN KEITH (M.D.) – Internal Medicine Physician, NPI 1104806116

KATHERINE ANN KEITH (M.D.) is a healthcare provider. based in Berrien springs, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 4301081055 (MI). The NPI Number for KATHERINE ANN KEITH (M.D.) is 1104806116

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE ANN KEITH (M.D.)
NPI
1104806116
Phone
(269) 473-2222
Address
9045 US HIGHWAY 31
Enumeration Date
18 January 2006
Last Update Date
26 November 2019

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2694719702
Graduation Year
1999 (27 years ago)
PAC ID
0345290987
Group Practice PAC ID
1658427042
Professional Enrollment ID
I20050131001022
Address ID
MI491031804BE9045X31XX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

Provider Addresses for KATHERINE ANN KEITH (M.D.)

  • 9045 US HIGHWAY 31

    BERRIEN SPRINGS, MI 491031804

    Phone: (269) 473-2222

    Fax: (269) 473-6880

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $145.

Total Amount is formed as General ($145) + Research ($0) + Ownership ($0) = $145.

Last reported payment date: 2024-04-25 • Largest payer in this snapshot: Novo Nordisk Inc ($131).

Total Amount

$145

General + Research + Ownership

Payments

12

Total payment records

General Amount

$145

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-25

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: 2005-01-31

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
I20050131001022IInternal MedicineMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes267144$0
81001Manual urinalysis test with examination using microscope, automated169125$0
80053Blood test, comprehensive group of blood chemicals143115$0
99213Established patient office or other outpatient visit, 20-29 minutes13399$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit126126$0
View full utilization report →

Insurance plans in this area (ZIP 49103)

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Provider's Procedures

KATHERINE ANN KEITH (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMI83036Hemoglobin A1C level180144
INTERNAL MEDICINEMI85610Blood test, clotting time22325
INTERNAL MEDICINEMI90670Pneumococcal vaccine for injection into muscle4747

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: 1658427042View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
Nurse PractitionerMI
-MI
-MI
Physician AssistantMI
-MI
Physician AssistantMI
Internal MedicineMI
O B S T E T R I C S/ G Y N E C O L O G YMI

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Frequently asked questions

Where can patients find KATHERINE ANN KEITH (M.D.)'s NPI?
You can confirm KATHERINE ANN KEITH (M.D.) with NPI 1104806116; it appears in the national provider directory.
Is KATHERINE ANN KEITH (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does KATHERINE ANN KEITH (M.D.) work in?
You can think of KATHERINE ANN KEITH (M.D.) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does KATHERINE ANN KEITH (M.D.) practice in Michigan?
You will see Berrien Springs, Michigan on file for KATHERINE ANN KEITH (M.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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