MR. KEITH EDWARD SHULTS RPA
NPI 1770832909
Physician Assistant - Surgical in Syracuse, NY
About Mr. Keith Edward Shults Rpa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KEITH EDWARD SHULTS RPA (NPI 1770832909) is an individual surgical provider in Syracuse, New York and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Keith Edward Shults Rpa 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Joseph's Hospital Health Center
Acute Care Hospitals · Syracuse, NYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SYRACUSE, NY 13203
SYRACUSE, NY 13203
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 Shults's NPI number?
The NPI number for Keith Shults is 1770832909. It was assigned to this individual provider in the NPPES registry on September 4, 2012.
Where is Keith Shults located?
Keith Shults practices at 301 Prospect Ave, Syracuse, NY 13203. The listed phone number is (315) 448-5111.
What is Keith Shults's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Keith Shults enrolled in Medicare?
Yes. Keith Shults 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.
Is Keith Shults affiliated with any hospitals?
According to CMS data, Keith Shults is affiliated with St Joseph's Hospital Health Center.
When was this NPI record last updated?
The NPPES record for Keith Shults was last updated on May 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mr. Keith Edward Shults, RPA · NPI 1770832909
Surgical physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since September 4, 2012.
## Identity
- **NPI:** 1770832909 (Entity type: Individual)
- **Enumerated:** September 4, 2012
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **Sole proprietor:** No
## Practice location
- **Address:** 301 PROSPECT AVE, Syracuse, NY 13203-1807
- **Phone:** (315) 448-5111 · **Fax:** (315) 703-5079
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** May 31, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1770832909) · Data from the CMS NPPES public registry.