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JACK P KEITH M.D.
NPI 1750393203
Anesthesiology in Lewiston, ME

Active since August 13, 2006PECOS EnrolledAccepts Medicare Assignment
86.64/100
CMS Quality Rating
45 GOLDER ST, LEWISTON, ME 04240(207) 755-3715(207) 755-3728 Get Directions Write a Review

NPPES record last updated: April 26, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jack P Keith M.d. NPPES

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

JACK P KEITH M.D. (NPI 1750393203) is an individual anesthesiology provider in Lewiston, Maine, licensed in Maine (013034) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Aurelia Osborn Fox Memorial Hospital, and is a graduate of University Of Texas Medical School At San Antonio (1986).

NPPES Registry Identity

NPI1750393203
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameJACK P KEITHCredential: M.D.
Location Address45 GOLDER STLewiston, ME 04240-6033
Mailing AddressPo Box 1823Lewiston, ME 04241-1823 · (207) 755-3715 · Fax (207) 755-3728
Phone(207) 755-3715
Fax(207) 755-3728
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1986
Enumeration DateAugust 13, 2006
Last NPPES UpdateApril 26, 2010
✔ NPI 1750393203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in ME · 013034
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
45 GOLDER ST, Lewiston, ME 04240
Open in Google Maps ↗

Other Identifiers 5

Other002622ME · Anthem Bc/bs
Other050029135Railroad Medicare
Medicare ID-Type UnspecifiedMM3172
Medicaid316040099ME
Medicare UPINE96867

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

Jack P Keith M.d. 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 ID42200610
PECOS Enrollment IDI20190828001722
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 Reassignments

4

Medicare enrollment records show Jack Keith reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bassett Hospital Of Schoharie County
237 mi
Critical Access
178 GRANDVIEW DR
Cobleskill, NY 12043
  • Reassigned Medicare billing, New York enrollment
  • 202 clinicians in this Medicare group
NPI 1891862579 (518) 254-3456
Little Falls Hospital
244 mi
Critical Access
140 BURWELL ST
Little Falls, NY 13365
  • Reassigned Medicare billing, New York enrollment
  • 202 clinicians in this Medicare group
NPI 1558321919 (315) 823-5281
Mary Imogene Bassett Hospital
257 mi
Multi-Specialty
1 ATWELL RD
Cooperstown, NY 13326
  • Reassigned Medicare billing, New York enrollment
  • 1,052 clinicians in this Medicare group
NPI 1083664221 (607) 547-6858
O'connor Hospital
270 mi
Critical Access
460 ANDES RD
Delhi, NY 13753
  • Reassigned Medicare billing, New York enrollment
  • 199 clinicians in this Medicare group
NPI 1891728192 (607) 746-0326

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

Areas of Expertise CMS Part B claims 4

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.

Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
33 services33 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
25 services24 patients
Anesthesia for other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
12 services11 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Aurelia Osborn Fox Memorial Hospital

Acute Care Hospitals · Oneonta, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330085
LocationOne Norton AvenueOneonta, NY 13820 · Otsego County
Emergency services

Bassett Healthcare

Acute Care Hospitals · Cooperstown, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330136
LocationOne Atwell RoadCooperstown, NY 13326 · Otsego County
Emergency services Birthing friendly

Cobleskill Regional Hospital

Critical Access Hospitals · Cobleskill, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number331320
Location178 Grandview DriveCobleskill, NY 12043 · Schoharie County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.13
Promoting Interoperability74
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

ELIZABETH M LONSDALE CRNA
Nurse Anesthetist, Certified Registered
45 GOLDER ST
LEWISTON, ME 04240
Androscoggin County (207) 755-3715
BRUCE CRAVER CRNA
Nurse Anesthetist, Certified Registered
45 GOLDER ST
LEWISTON, ME 04240
Androscoggin County (207) 755-3715

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 Jack Keith's NPI number?

The NPI number for Jack Keith is 1750393203. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Jack Keith located?

Jack Keith practices at 45 Golder St, Lewiston, ME 04240. The listed phone number is (207) 755-3715.

What is Jack Keith's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jack Keith enrolled in Medicare?

Yes. Jack Keith 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.

Which organizations bill Medicare for Jack Keith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Keith reassigns Medicare benefits to 4 organizations: Bassett Hospital Of Schoharie County (Cobleskill, NY), Little Falls Hospital (Little Falls, NY), Mary Imogene Bassett Hospital (Cooperstown, NY) and O'connor Hospital (Delhi, NY). Each 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 Jack Keith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jack Keith affiliated with any hospitals?

According to CMS data, Jack Keith is affiliated with Aurelia Osborn Fox Memorial Hospital, Bassett Healthcare and Cobleskill Regional Hospital.

When was this NPI record last updated?

The NPPES record for Jack Keith was last updated on April 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.