Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Keith Ennis, MD

Individual provider Family Medicine Physician · NPI 1033292628

Keith Ennis, MD practises Emergency Medicine in Kokomo, Indiana. Graduated from Indiana University School of Medicine in 1991, 35 years ago. Practices with St Vincent Physician Services Hospital and Health Care Center, a 282-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
35
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1907 W Sycamore St
Kokomo, IN 46901-5148
Phone: (765) 456-5433
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01040472A (IN)

Record details

NPI number1033292628
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 24, 2006
Last updated in NPPESJune 20, 2022
Certification dateJune 20, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice St Vincent Physician Services Hospital And Health Care Center — 282 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients134
Services billed 804 a service is one billed item, such as a visit, a test or a procedure
Average patient age79

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Also affiliated with 1 inpatient rehabilitation facility, which CMS identifies by certification number only.

Colleagues at St Vincent Physician Services Hospital and Health Care Center

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 282 clinicians in the practice; 12 are shown here.

Other providers in Kokomo