DR. KEITH BLANKENSHIP DO
NPI 1467032110
Surgery in Dayton, OH

Q: What is Keith Blankenship's NPI number?

The NPI number for Keith Blankenship is 1467032110. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Q: What is Keith Blankenship's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Keith Blankenship was last updated on March 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since April 08, 2021PECOS EnrolledAccepts Medicare Assignment

405 W GRAND AVE, DAYTON, OH 45405(937) 723-3200 Get Directions Write a Review

NPPES record last updated: March 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 29, 2026, Apr 8, 2021 (2 updates tracked since 2021).

On this page

About Dr. Keith Blankenship Do NPPES

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

DR. KEITH BLANKENSHIP DO (NPI 1467032110) is an individual surgery provider in Dayton, Ohio, licensed in Ohio (34.018433) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Dayton, and maintains a secondary practice location in Montgomery.

NPPES Registry Identity

NPI1467032110

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. KEITH BLANKENSHIPCredential: DO

Location Address405 W GRAND AVEDayton, OH 45405-7538

Mailing Address7700 Washington Village Dr Ste 130Centerville, OH 45459-4094 · (937) 531-0195

Phone(937) 723-3200

Sole ProprietorNo

Medical School CMSPhiladelphia Col Of Osteo Med, SewaneeGraduated 2021

Enumeration DateApril 8, 2021

Last NPPES UpdateMarch 29, 20262 updates tracked since enumeration

NPPES CertifiedMarch 29, 2026

✔ NPI 1467032110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in OH · 34.018433✔ Licensed in OH · 58.031907

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

405 W GRAND AVE, Dayton, OH 45405

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Secondary Practice Location 1

Location 110735 Montgomery RdMontgomery, OH 45242-3215 · Phone (513) 984-4700

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Keith Blankenship Do 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 ID8527467828

PECOS Enrollment IDI20260702004290

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.

Medicare Billing Reassignment

Medicare enrollment records show Keith Blankenship reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kettering Independent Medical Group Inc

9.5 mi

Orthopaedic Surgery

1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342

Reassigned Medicare billing, Ohio enrollment
984 clinicians in this Medicare group

NPI 1629387865 (937) 762-1629

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

Hospital Affiliations CMS Care Compare

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

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360133

Location405 Grand AvenueDayton, OH 45405 · Montgomery County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45405 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

LARA MARTINEZ

Emergency Medicine