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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TAFT KEELE MD
NPI 1992400873
Family Medicine in Plymouth, IN

Active since March 31, 2023PECOS Enrolled
209 E JEFFERSON ST, PLYMOUTH, IN 46563(574) 948-5100 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2026, Jul 30, 2026, Mar 31, 2023 (3 updates tracked since 2023).

About Taft Keele Md NPPES

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

TAFT KEELE MD (NPI 1992400873) is an individual family medicine provider in Plymouth, Indiana, licensed in Indiana (01100560A) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Plymouth, and is a graduate of University Of Arizona College Of Medicine - Phoenix (2023).

NPPES Registry Identity

NPI1992400873
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTAFT KEELECredential: MD
Location Address209 E JEFFERSON STPlymouth, IN 46563-1823
Mailing Address5215 Holy Cross PkwyMishawaka, IN 46545-1469 · (574) 335-8707
Phone(574) 948-5100
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of Medicine - PhoenixGraduated 2023
Enumeration DateMarch 31, 2023
Last NPPES UpdateOctober 6, 20263 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1992400873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01100560A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
209 E JEFFERSON ST, Plymouth, IN 46563
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Secondary Practice Location 1

Location 11919 Lake Ave Ste 106Plymouth, IN 46563-7830 · Phone (574) 335-5220

Other Identifiers 1

Medicaid300076698IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taft Keele Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981061678
PECOS Enrollment IDI20260728001485
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 Taft Keele reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saint Joseph Regional Medical Center, Inc.
1.4 mi
Pulmonary Disease
2349 LAKE AVE STE 99
Plymouth, IN 46563
  • Reassigned Medicare billing, Indiana enrollment
  • 205 clinicians in this Medicare group
NPI 1225082878 (574) 948-5340

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 46563 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 7

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

MARLA M TROYER FNP
Nurse Practitioner (Family)
209 E JEFFERSON ST
PLYMOUTH, IN 46563
Marshall County (574) 948-5100
KELSEY ANNA WAGONER FNP
Nurse Practitioner (Family)
209 E JEFFERSON ST
PLYMOUTH, IN 46563
Marshall County (574) 948-5100
TIFFANY VOGELER PHARMD
Pharmacist
209 E JEFFERSON ST
PLYMOUTH, IN 46563
Marshall County (574) 335-8073
DR. SALLY BEAZLIE-WALKER D.O
Family Medicine
209 E JEFFERSON ST
PLYMOUTH, IN 46563
Marshall County (574) 948-5100
DEBRA SUE COOK N.P.
Nurse Practitioner (Family)
209 E JEFFERSON ST
PLYMOUTH, IN 46563
Marshall County (574) 941-3111
MRS. CRYSTAL MARIE HORNER N.P.
Nurse Practitioner (Family)
209 E JEFFERSON ST
PLYMOUTH, IN 46563
Marshall County (574) 941-3111
MRS. JACQUELINE ANN EVELAND N.P.
Nurse Practitioner (Family)
209 E JEFFERSON ST
PLYMOUTH, IN 46563
Marshall County (574) 941-3111

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 Taft Keele's NPI number?

The NPI number for Taft Keele is 1992400873. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Where is Taft Keele located?

Taft Keele practices at 209 E Jefferson St, Plymouth, IN 46563. The listed phone number is (574) 948-5100.

What is Taft Keele's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Taft Keele enrolled in Medicare?

Yes. Taft Keele is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Taft Keele's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taft Keele reassigns Medicare benefits to Saint Joseph Regional Medical Center, Inc. (Plymouth, IN). The 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 Taft Keele's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Taft Keele accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Taft Keele as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Taft Keele was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.