DR. KEITH CRESWELL MCKENZIE M.D. NPI 1801830757

NPI Information

  • NPI: 1801830757
  • Provider Name: DR. KEITH CRESWELL MCKENZIE, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 15501 METROPOLITAN PKWY
    STE 110
    CLINTON TWP, MI
    ZIP 48036
  • Phone: (586) 286-9720

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NPI Details

DR. Keith Creswell Mckenzie, M.D. is a family medicine in Clinton Twp, MI with 30 years of experience. The provider is 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. DR. Keith Creswell Mckenzie, M.D. NPI is 1801830757. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1996

The provider's business location address is:

15501 METROPOLITAN PKWY
STE 110
CLINTON TWP, MI
ZIP 48036-684
Phone: (586) 286-9720
Fax: (586) 286-3134

The NPI 1801830757 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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous (HCPCS:G0328)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Prostate cancer screening; digital rectal examination (HCPCS:G0102)
  • Hemoglobin a1c level (HCPCS:83036)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Urinalysis, manual test (HCPCS:81002)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Removal of impacted ear wax (HCPCS:69210)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report (HCPCS:G0403)

The enumeration date for this NPI number is 6/15/2006 and was last updated on 1/15/2018.

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
1207Q00000XFamily Medicine4301067883MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1352206784OTHERMICHIGANTAX ID
20805013811OTHERMICHIGANBCBSM OF MICHIGAN

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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