DR. KEITH GREGORY BOUFFARD DO
NPI 1760171862
Internal Medicine in Kalamazoo, MI

Q: What is Keith Bouffard's NPI number?

The NPI number for Keith Bouffard is 1760171862. It was assigned to this individual provider in the NPPES registry on May 4, 2023.

Q: What is Keith Bouffard's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Keith Bouffard was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 04, 2023PECOS Enrolled

524 S PARK ST, KALAMAZOO, MI 49007(269) 341-6056(269) 341-7781 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 7, 2026, May 4, 2023 (2 updates tracked since 2023).

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About Dr. Keith Gregory Bouffard Do NPPES

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

DR. KEITH GREGORY BOUFFARD DO (NPI 1760171862) is an individual internal medicine provider in Kalamazoo, Michigan, licensed in Michigan (5101029549) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1760171862

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. KEITH GREGORY BOUFFARDCredential: DO

Location Address524 S PARK STKalamazoo, MI 49007-5118

Mailing Address524 S Park StKalamazoo, MI 49007-5118 · (269) 341-6056 · Fax (269) 341-7781

Phone(269) 341-6056

Fax(269) 341-7781

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMay 4, 2023

Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration

NPPES CertifiedAugust 7, 2026

✔ NPI 1760171862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 5101029549

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

524 S PARK ST, Kalamazoo, MI 49007

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Keith Gregory Bouffard Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951762616

PECOS Enrollment IDI20260817000548

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 Bouffard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bronson Methodist Hospital

0.8 mi

Hospitalist

601 JOHN STREET
Kalamazoo, MI 49007

Reassigned Medicare billing, Michigan enrollment
1,133 clinicians in this Medicare group

NPI 1417961137 (269) 341-7654

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49007 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES 12

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

ANDREW FORSYTH M.D.

Radiology (Vascular & Interventional Radiology)