DR. KEITH ALLEN DUFENDACH MD
NPI 1821525429
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Muskegon, MI

Q: What is Keith Dufendach's NPI number?

The NPI number for Keith Dufendach is 1821525429. It was assigned to this individual provider in the NPPES registry on May 15, 2017.

Q: What is Keith Dufendach's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Keith Dufendach was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 15, 2017PECOS EnrolledAccepts Medicare Assignment

1560 E SHERMAN BLVD STE 309, MUSKEGON, MI 49444(231) 672-8643(231) 672-8651 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2025, Jul 21, 2022, May 15, 2017 (3 updates tracked since 2017).

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About Dr. Keith Allen Dufendach Md NPPES

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

DR. KEITH ALLEN DUFENDACH MD (NPI 1821525429) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Muskegon, Michigan, licensed in Michigan (4301513912) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health - West, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1821525429

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameDR. KEITH ALLEN DUFENDACHCredential: MD

Location Address1560 E SHERMAN BLVD STE 309Muskegon, MI 49444-1850

Mailing Address1560 E Sherman Blvd Ste 309Muskegon, MI 49444-1850 · (231) 672-8643 · Fax (231) 672-8651

Phone(231) 672-8643

Fax(231) 672-8651

Sole ProprietorNo

Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2017

Enumeration DateMay 15, 2017

Last NPPES UpdateJune 3, 20253 updates tracked since enumeration

NPPES CertifiedJune 3, 2025

✔ NPI 1821525429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in MI · 4301513912

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1560 E SHERMAN BLVD STE 309, Muskegon, MI 49444

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Secondary Practice Locations 2

Location 13600 Forbes Ave Ste 140Pittsburgh, PA 15213-3410 · Phone (412) 647-6340

Location 2310 Lafayette Ave SE Ste 300Grand Rapids, MI 49503-4693 · Phone (616) 685-3450 · Fax (616) 685-3454

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

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

Dr. Keith Allen Dufendach Md 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 ID2365719804

PECOS Enrollment IDI20250604000521

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.

Hospital Affiliations CMS Care Compare

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

University Of Michigan Health - West

Acute Care Hospitals · Wyoming, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230236

Location5900 Byron Center Avenue, SWWyoming, MI 49519 · Kent County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49444 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

$166.68 typical visit price

range $54.34 – $166.68

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

Most-billed visit code 99205

Established Patient

$68.07 typical visit price

range $17.09 – $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 5

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

JULIE A ANDERSON PA-C

Physician Assistant (Surgical)