KEITH BUMEDER PA-C
NPI 1861700643
Physician Assistant - Medical in Ephrata, PA

Q: What is Keith Bumeder's NPI number?

The NPI number for Keith Bumeder is 1861700643. It was assigned to this individual provider in the NPPES registry on September 15, 2010.

Q: What is Keith Bumeder's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Keith Bumeder was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 15, 2010PECOS EnrolledAccepts Medicare Assignment

207 W FULTON ST, EPHRATA, PA 17522(717) 721-8789(717) 715-1360 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Keith Bumeder Pa-c NPPES

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

KEITH BUMEDER PA-C (NPI 1861700643) is an individual medical provider in Ephrata, Pennsylvania, licensed in Pennsylvania (MA054613) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with Wellspan Good Samaritan Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1861700643

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameKEITH BUMEDERCredential: PA-C

Location Address207 W FULTON STEphrata, PA 17522-1902

Mailing Address3421 Concord RdYork, PA 17402-9001 · (717) 721-8789 · Fax (717) 715-1360

Phone(717) 721-8789

Fax(717) 715-1360

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateSeptember 15, 2010

Last NPPES UpdateNovember 4, 2021

NPPES CertifiedNovember 4, 2021

✔ NPI 1861700643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in PA · MA054613

207 W FULTON ST, Ephrata, PA 17522

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Other Identifiers 1

Medicaid1032012750001PA

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

Keith Bumeder Pa-c 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 ID7113164047

PECOS Enrollment IDI20130513000248

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.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

232 services151 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

109 services83 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

52 services45 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

13 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Wellspan Good Samaritan Hospital

Acute Care Hospitals · Lebanon, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390066

Location252 South 4th StreetLebanon, PA 17042 · Lebanon County

Emergency services Birthing friendly

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390100

Location555 North Duke StreetLancaster, PA 17602 · Lancaster County

Emergency services Birthing friendly

Wellspan Ephrata Community Hospital

Acute Care Hospitals · Ephrata, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390225

Location169 Martin AvenueEphrata, PA 17522 · Lancaster County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 9

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

DR. SHIRANI DAVID RAJAN MD MSPH

Psychiatry & Neurology (Neurology)