KEYCARE MEDICAL, P.A.
NPI 1134835978
Family Medicine in Chicago, IL

Active since January 25, 2023
1713 W. DIVERSEY PKWY, SUITE G, CHICAGO, IL 60614(331) 472-7443 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Keycare Medical, P.a. NPPES

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

KEYCARE MEDICAL, P.A. (NPI 1134835978), doing business as Keycare, is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since January 2023. The organization lists Karil Ann Walther, Vice President Practice Operations, as its authorized official.

NPPES Registry Identity

NPI1134835978
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKEYCARE MEDICAL, P.A.
Location Address1713 W. DIVERSEY PKWY, SUITE GChicago, IL 60614
Mailing Address1440 W Taylor St # 227Chicago, IL 60607-4623 · (331) 472-7443
Organization SubpartNo
Authorized OfficialKaril Ann WaltherVice President Practice Operations · (608) 235-7970
Enumeration DateJanuary 25, 2023
NPPES CertifiedJanuary 12, 2023
✔ NPI 1134835978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
1713 W. DIVERSEY PKWY, Chicago, IL 60614

Other Names 1

Doing Business AsKeycare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keycare Medical, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Keycare Medical, P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1063640241
3529 FIRESTONE BLVD
South Gate, CA 90280
(323) 566-1700
✔ PECOS✔ Accepts Medicare1,745 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Keycare Medical, P.A.'s NPI number?

The NPI number for Keycare Medical, P.A. is 1134835978. It was assigned to this organization in the NPPES registry on January 25, 2023. The provider is doing business as KeyCare.

Where is Keycare Medical, P.A. located?

Keycare Medical, P.A. is located at 1713 W. Diversey Pkwy Suite G, Chicago, IL 60614. The listed phone number is (331) 472-7443.

What is Keycare Medical, P.A.'s specialty?

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

Is Keycare Medical, P.A. enrolled in Medicare?

Yes. Keycare Medical, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Keycare Medical, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Keycare Medical, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Keycare Medical, P.A. was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.