KEITH RAPHAEL DORAM M.D. NPI 1720306756

NPI Information

  • NPI: 1720306756
  • Provider Name: KEITH RAPHAEL DORAM, M.D.
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 17300 WESTFIELD BLVD STE 110
    WESTFIELD, IN
    ZIP 46074
  • Phone: (317) 763-1019

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NPI Details

Keith Raphael Doram, M.D. is a geriatric medicine internal medicine in Westfield, IN with 43 years of experience. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Keith Raphael Doram, M.D. NPI is 1720306756. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1983

The provider's business location address is:

17300 WESTFIELD BLVD STE 110
WESTFIELD, IN
ZIP 46074-363
Phone: (317) 763-1019
Fax: (317) 763-1082

The NPI 1720306756 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of skin and tissue, each additional 20.0 sq cm or less (HCPCS:11045)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Management of oxygen chamber therapy (HCPCS:99183)
  • Application of chemical to stop tissue regrowth in wound (HCPCS:17250)
  • Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less (HCPCS:15275)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Initial nursing facility visit per day, typically 25 minutes (HCPCS:99304)

The enumeration date for this NPI number is 5/14/2010 and was last updated on 7/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric MedicineG052927CALIFORNIANo
2207RG0300XInternal MedicineGeriatric MedicineMD067852LPENNSYLVANIANo
3207RG0300XInternal MedicineGeriatric MedicineC1-0007713DELAWARENo
4207RG0300XInternal MedicineGeriatric Medicine01079816AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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