KEITH ENNIS MD
NPI 1033292628
Family Medicine in Kokomo, IN

Active since October 24, 2006PECOS EnrolledAccepts Medicare Assignment
1907 W SYCAMORE ST, KOKOMO, IN 46901(765) 456-5433 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Keith Ennis Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH ENNIS MD (NPI 1033292628) is an individual family medicine provider in Kokomo, Indiana, licensed in Indiana (01040472A) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Kokomo, and is a graduate of Indiana University School Of Medicine (1991).

NPPES Registry Identity

NPI1033292628
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKEITH ENNISCredential: MD
Location Address1907 W SYCAMORE STKokomo, IN 46901-5148
Mailing Address1907 W Sycamore StKokomo, IN 46901-5148
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1991
Enumeration DateOctober 24, 2006
Last NPPES UpdateJune 20, 2022
NPPES CertifiedJune 20, 2022
NPI 1033292628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 01040472A
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1907 W SYCAMORE ST, Kokomo, IN 46901

Other Identifiers 1

Medicaid200014450EIN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Keith Ennis Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608971809
PECOS Enrollment IDI20070417000470
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
581 services132 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
103 services101 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
87 services85 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St Vincent Kokomo

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150010
Location1907 W Sycamore StKokomo, IN 46904 · Howard County
Emergency services Birthing friendly

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers31 claims31 services$57.72 avg. paid by Medicare
Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier14 claims14 services$9.66 avg. paid by Medicare
Hospital bed, variable height, hi-lo, with any type side rails, with mattress E0255
DME-Hospital Beds · category DB000N
2 suppliers15 claims15 services$53.95 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers32 claims34 services$15.85 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers24 claims24 services$775.91 avg. paid by Medicare
Residual limb support system for wheelchair, any type E1020
DME-Wheelchairs · category DD021N
2 suppliers12 claims12 services$12.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
1907 W SYCAMORE ST
KOKOMO, IN 46901
Psychologist (Clinical)
1907 W SYCAMORE ST
KOKOMO, IN 46901
Preventive Medicine (Undersea and Hyperbaric Medicine)
1907 W SYCAMORE ST
KOKOMO, IN 46901
Family Medicine
1907 W SYCAMORE ST
KOKOMO, IN 46901
Occupational Therapist
1907 W SYCAMORE ST
KOKOMO, IN 46901
Nurse Practitioner (Family)
1907 W SYCAMORE ST
KOKOMO, IN 46901
Surgery
1907 W SYCAMORE ST
KOKOMO, IN 46901
Psychiatry & Neurology (Psychiatry)
1907 W SYCAMORE ST
KOKOMO, IN 46901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Ennis's NPI number?

The NPI number for Keith Ennis is 1033292628. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Keith Ennis located?

Keith Ennis practices at 1907 W Sycamore St, Kokomo, IN 46901. The listed phone number is (765) 456-5433.

What is Keith Ennis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Keith Ennis enrolled in Medicare?

Yes. Keith Ennis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Keith Ennis accept?

Health plans from CareSource list Keith Ennis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Keith Ennis affiliated with any hospitals?

According to CMS data, Keith Ennis is affiliated with Ascension St Vincent Kokomo and Ascension St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Keith Ennis was last updated on June 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.