DR. KEITH CRESWELL MCKENZIE (M.D.) – Family Medicine Physician, NPI 1801830757

DR. KEITH CRESWELL MCKENZIE (M.D.) is a healthcare provider. based in Clinton twp, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 4301067883 (MI). The NPI Number for DR. KEITH CRESWELL MCKENZIE (M.D.) is 1801830757

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEITH CRESWELL MCKENZIE (M.D.)
NPI
1801830757
Phone
(586) 286-9720
Address
15501 METROPOLITAN PKWY
Enumeration Date
15 June 2006
Last Update Date
15 January 2018

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
5862869720126
Graduation Year
1996 (30 years ago)
PAC ID
0446216261
Group Practice PAC ID
1658337472
Professional Enrollment ID
I20041207000267
Address ID
MI480361684CL15501PKWY303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

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Provider Addresses for DR. KEITH CRESWELL MCKENZIE (M.D.)

  • 15501, Metropolitan Parkway, Cady, Clinton Township, Macomb County, Michigan, 48035, United States

    STE 110

    CLINTON TWP, MI 480361684

    Phone: (586) 286-9720

    Fax: (586) 286-3134

    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)

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: 2004-12-07

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
I20041207000267IFamily PracticeMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes424235$0
36415Insertion of needle into vein for collection of blood sample363230$0
80061Blood test, lipids (cholesterol and triglycerides)249178$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit181181$0
99214Established patient office or other outpatient visit, 30-39 minutes169124$0
View full utilization report →

Insurance plans in this area (ZIP 48036)

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Provider's Procedures

DR. KEITH CRESWELL MCKENZIE (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMI81002Urinalysis, manual test4125
FAMILY MEDICINEMI83036Hemoglobin A1C level5139
FAMILY MEDICINEMI90670Pneumococcal vaccine for injection into muscle2626

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: 1658337472View full group profile
NameSpecialtyState
Physician AssistantMI
Family PracticeMI
Physician AssistantMI

Reviews

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Frequently asked questions

What identifier follows DR. KEITH CRESWELL MCKENZIE (M.D.) across health systems?
The NPI 1801830757 uniquely identifies DR. KEITH CRESWELL MCKENZIE (M.D.) in U.S. healthcare data.
Does the public listing show DR. KEITH CRESWELL MCKENZIE (M.D.) as active?
DR. KEITH CRESWELL MCKENZIE (M.D.)'s NPI record reflects an active status in NPPES.
What type of care does DR. KEITH CRESWELL MCKENZIE (M.D.) provide?
DR. KEITH CRESWELL MCKENZIE (M.D.)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. KEITH CRESWELL MCKENZIE (M.D.)?
The directory associates DR. KEITH CRESWELL MCKENZIE (M.D.) with Clinton Twp, Michigan. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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