KEITH J HARKINS (M.D.) – Emergency Medicine Physician, NPI 1265410716

KEITH J HARKINS (M.D.) is a healthcare provider. based in Kettering, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 35061943 (OH). The NPI Number for KEITH J HARKINS (M.D.) is 1265410716

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
KEITH J HARKINS (M.D.)
NPI
1265410716
Phone
(800) 875-0136
Address
4750 HEMPSTEAD STATION DR
Enumeration Date
5 January 2006
Last Update Date
10 November 2011

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
7407797500
Graduation Year
1990 (36 years ago)
PAC ID
0345343869
Group Practice PAC ID
1850824400
Professional Enrollment ID
I20070321000130
Address ID
OH456019031CH272XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,673 EMERGENCY MEDICINE in OH

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Provider Addresses for KEITH J HARKINS (M.D.)

  • 4750, Hempstead Station Drive, Kettering, Montgomery County, Ohio, 45429, United States

    KETTERING, OH 454295164

    Phone: (800) 875-0136

    Type: Mailing

  • 1275, North High Street, Hillsboro, Highland County, Ohio, 45133, United States

    HILLSBORO, OH 451338273

    Phone: (937) 393-6100

    Fax: (937) 619-4150

    Type: Location

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: 2007-03-21

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
I20070321000130IEmergency MedicineOHTBD

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 making286251$0
99284Emergency department visit with moderate level of medical decision making191171$0
99283Emergency department visit with low level of medical decision making5651$0
99291Critical care, first 30-74 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 45429)

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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: 1850824400View full group profile
NameSpecialtyState
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineMI
Emergency MedicineOH
Internal MedicineWV
Family PracticeTN
Emergency Medicine, Family PracticeOH
Nurse PractitionerOH
Emergency MedicineOH
Emergency MedicineOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for KEITH J HARKINS (M.D.)?
KEITH J HARKINS (M.D.) — NPI 1265410716 — is the standard way to identify this listing.
Is KEITH J HARKINS (M.D.) listed as active for patients and plans?
The listing shows KEITH J HARKINS (M.D.) as active in the NPI system.
What is KEITH J HARKINS (M.D.)'s primary classification?
Emergency Medicine Physician is the headline specialty for KEITH J HARKINS (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect KEITH J HARKINS (M.D.) on a map?
Expect Kettering, Ohio as a primary anchor for KEITH J HARKINS (M.D.) unless the record lists multiple sites.
Why does KEITH J HARKINS (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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