DR. JOHN KEITH (M.D.) – Emergency Medicine Physician, NPI 1215960935

DR. JOHN KEITH (M.D.) is a healthcare provider. based in Jackson, Mississippi. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 17041 (MS). The NPI Number for DR. JOHN KEITH (M.D.) is 1215960935

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN KEITH (M.D.)
NPI
1215960935
Phone
(601) 984-2538
Address
2500 N STATE ST
Enumeration Date
8 July 2006
Last Update Date
7 April 2008

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
6156983000
Graduation Year
1999 (27 years ago)
PAC ID
0840392023
Group Practice PAC ID
6204298144
Professional Enrollment ID
I20080702000276
Address ID
TN371723927SP100XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

587 EMERGENCY MEDICINE in MS

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Provider Addresses for DR. JOHN KEITH (M.D.)

  • University of Mississippi Medical Center, 2500, North State Street, Woodland Hills, Jackson, Hinds County, Mississippi, 39216, United States

    JACKSON, MS 392164500

    Phone: (601) 984-2538

    Fax: (601) 815-1854

    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: 2008-07-02

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
I20080702000276IEmergency MedicineTNTBD

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
99285Emergency department visit with high level of medical decision making205190$0
99284Emergency department visit with moderate level of medical decision making10298$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only5047$0
99291Critical care, first 30-74 minutes1616$0
99283Emergency department visit with low level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 39216)

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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: 6204298144View full group profile
NameSpecialtyState
Emergency MedicineTN
Nurse PractitionerOH
Family PracticeTN
Emergency MedicineTN
Nurse PractitionerFL
Emergency MedicineNC
Internal Medicine, Emergency MedicineTN

Reviews

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Frequently asked questions

What is the standard ID for DR. JOHN KEITH (M.D.) in the U.S.?
In the U.S., DR. JOHN KEITH (M.D.) is identified by NPI 1215960935.
Quick check: is DR. JOHN KEITH (M.D.) active?
Public NPPES data shows DR. JOHN KEITH (M.D.) with an active NPI status right now.
What services align with DR. JOHN KEITH (M.D.)'s listing?
DR. JOHN KEITH (M.D.)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. JOHN KEITH (M.D.) tied to Jackson, Mississippi?
If you are local to Jackson, Mississippi, DR. JOHN KEITH (M.D.) may be relevant to your search.
Why is information missing for DR. JOHN KEITH (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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