KEITH BRADLEY PENNYCOOK DO
NPI 1821651944
Student in an Organized Health Care Education/Training Program in Rochester, MI

NPI Status: Active since April 15, 2019

Contact Information

1101 W UNIVERSITY DR
ROCHESTER, MI
ZIP 48307
Phone: (248) 601-4900

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  • Individual
  • Male
  • Years of Experience 7
  • Student in an Organized Health Care Educ...
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KEITH PENNYCOOK

This page provides the complete NPI Profile along with additional information for Keith Pennycook, a primary care provider established in Rochester, Michigan with a medical specialization in Student In An Organized Health Care Education/training Program and more than 7 years of experience. He graduated from Michigan State University College Of Osteopathic Medicine in 2019. The healthcare provider is registered in the NPI registry with number 1821651944 assigned on April 2019. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1821651944
Provider Name
KEITH BRADLEY PENNYCOOK DO
Gender
Male
Entity Type
Individual
Location Address
1101 W UNIVERSITY DR ROCHESTER, MI 48307
Location Phone
(248) 601-4900
Mailing Address
6867 AURORA DR TROY, MI 48098
Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year
2019
Is Sole Proprietor?
Yes
Enumeration Date
04-15-2019
Last Update Date
04-15-2019
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A primary care provider (PCP) like Keith Pennycook sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Complete Silver with Atrium Health - HMO
  • Complete Silver with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Keith Pennycook is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Keith Pennycook is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2264886829

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230929003289

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Melanoma (skin cancer) excision

Melanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.

This service was performed for 1-10 patients

Reviews for KEITH BRADLEY PENNYCOOK DO

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1821651944
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2841125298
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 1 + 2 + 5 + 2 + 9 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1821651944 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407813033MRS. PATRICE ZURDOSKY CRNA
Individual
Nurse Anesthetist, Certified Registered1101 W UNIVERSITY DR
ROCHESTER, MI 48307
(248) 652-5354
1063463164 JUDITH M. BENDER M.D.
Individual
Radiology (Diagnostic Radiology)1101 W UNIVERSITY DR
ROCHESTER, MI 48307
(248) 652-5325
1164460390MR. CHRISTOPHER THOMAS PICHETTE CRNA
Individual
Nurse Anesthetist, Certified Registered1101 W UNIVERSITY DR
ROCHESTER, MI 48307
(248) 652-5354
1184662520DR. BEVERLY HUSZARIK M.D.
Individual
Emergency Medicine (Emergency Medical Services)1101 W UNIVERSITY DR
ROCHESTER, MI 48307
(248) 652-5000
1316975774MR. KENNETH SCHWARCZ PSYCHOLOGIST
Individual
Psychologist (Cognitive & Behavioral)1101 W UNIVERSITY DR ATTN: SUSAN MURRAY
ROCHESTER, MI 48307
(248) 652-5813
1003843400MS. SHARON BAILEY MASTER SOCIAL WORKER
Individual
Social Worker1101 W UNIVERSITY DR
ROCHESTER, MI 48307
(248) 652-5813
1245255918 RENE D LOREDO MD
Individual
Radiology (Diagnostic Radiology)1101 W UNIVERSITY DR RADIOLOGY DEPT
ROCHESTER, MI 48307
(248) 652-5325
1154346823 LAWRENCE J ASHKER DO
Individual
Radiology (Diagnostic Radiology)1101 W UNIVERSITY DR RADIOLOGY DEPT
ROCHESTER, MI 48307
(248) 652-5325
1558387753 JEFFREY M SHULAK MD
Individual
Radiology (Diagnostic Radiology)1101 W UNIVERSITY DR RADIOLOGY DEPT
ROCHESTER, MI 48307
(248) 652-5325
1245258631MR. RICHARD THOMAS DEAN JR. CRNA
Individual
Nurse Anesthetist, Certified Registered1101 W UNIVERSITY DR
ROCHESTER, MI 48307
(248) 652-5000
1730108705ROCHESTER EMERGENCY GROUP, P.C.
Organization
Emergency Medicine (Emergency Medical Services)1101 W UNIVERSITY DR
ROCHESTER, MI 48307
(248) 652-5000
1043233125DR. ANTHONY JOSLIN D.O.
Individual
Emergency Medicine (Emergency Medical Services)1101 W UNIVERSITY DR
ROCHESTER, MI 48307
(248) 652-5000
1417961673DR. RICHARD F NIMBACH D.O.
Individual
Emergency Medicine (Emergency Medical Services)1101 W UNIVERSITY DR
ROCHESTER, MI 48307
(248) 652-5000
1336153642 JOYCE MATNEY MASTER SOCIAL WORKER
Individual
Social Worker (Clinical)1101 W UNIVERSITY DR
ROCHESTER, MI 48307
(248) 652-5813
1720094873 KATHLEEN DEMARCO MASTER SOCIAL WORKER
Individual
Social Worker1101 W UNIVERSITY DR
ROCHESTER, MI 48307
(248) 652-5813
1205842390 LESLIE BOLLING SOCIAL WORKER
Individual
Social Worker1101 W UNIVERSITY DR
ROCHESTER, MI 48307
(248) 652-5813
1073626693MS. MARGARET GLEMBOCKI NURSE PRACTITIONER
Individual
Nurse Practitioner (Acute Care)1101 W UNIVERSITY DR
ROCHESTER, MI 48307
(248) 652-5813
1104932813 KEVIN FLOREK D.O.
Individual
Family Medicine1101 W UNIVERSITY DR
ROCHESTER, MI 48307
(248) 652-5813
1124191309 FRANK SOTTILE MD
Individual
Internal Medicine1101 W UNIVERSITY DR
ROCHESTER, MI 48307
(248) 652-5000
1346318904MR. THOMAS PATRICK CARDARELLI CRNA
Individual
Nurse Anesthetist, Certified Registered1101 W UNIVERSITY DR
ROCHESTER, MI 48307
(248) 652-5354

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821651944, enumerated in the NPI registry as an "individual" on April 15, 2019

The provider is located at 1101 W University Dr Rochester, Mi 48307 and the phone number is (248) 601-4900

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

The provider has more than 7 years of experience. He graduated from Michigan State University College Of Osteopathic Medicine in 2019.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The most common procedures or services performed by this practitioner are: Melanoma (skin cancer) excision.

This NPI record was last updated on April 15, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.