Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Keith David Clancy, M.D.

Q: What is the NPI number for Keith Clancy?

The National Provider Identifier (NPI) for Keith Clancy is 1164482303, a Type 1 (individual) record in the CMS NPPES registry.

Trauma Surgery Physician in Fort Wayne, IN · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164482303

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Registry record

Entity type Individual (Type 1)

Name Dr. Keith David Clancy

Credential M.D.

Sex Male

Practice address 7900 W Jefferson Blvd Ste 306, Fort Wayne, IN, 46804

Phone (260) 458-3610

Fax (260) 458-3611

Enumeration date Mar 23, 2006

Last updated in NPPES Sep 23, 2020

Taxonomy & licenses

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License MD067578-L (PA) Secondary

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 036.090092 (IL) Secondary

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 35.123491 (OH) Secondary

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 01079569A (IN) Secondary

2086S0102X Surgical Critical Care Physician Allopathic & Osteopathic Physicians · License MD067578-L (PA) Secondary

2086S0102X Surgical Critical Care Physician Allopathic & Osteopathic Physicians · License 35.123491 (OH) Secondary

2086S0127X Trauma Surgery Physician Allopathic & Osteopathic Physicians · License 036.090092 (IL) Secondary

2086S0127X Trauma Surgery Physician Allopathic & Osteopathic Physicians · License MD067578-L (PA) Secondary

2086S0127X Trauma Surgery Physician Allopathic & Osteopathic Physicians · License 35.123491 (OH) Secondary

2086S0127X Trauma Surgery Physician Allopathic & Osteopathic Physicians · License 01079569A (IN) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
001757641	Medicaid	PA	-
117558	Other	PA	UNISON-WMG
562564	Other	PA	HIGHMARK BLUE SHIELD
039983	Other	PA	JOHNS HOPKINS
20006031	Other	PA	AMERIHEALTH MERCY-WMG
7731206	Other	PA	AETNA
01122002	Other	PA	CAPITAL BLUE CROSS-WMG
491516	Other	PA	MAMSI-WMG
610201	Other	MD	CAREFIRST MD BCBS
1506063	Other	PA	GATEWAY-WMG
56845	Other	PA	GEISINGER
0342984000	Other	PA	AMERIHEALTH 65 PA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Keith Clancy practice?

The practice location on file with NPPES is in Fort Wayne, IN. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Keith Clancy?

The National Provider Identifier (NPI) for Keith Clancy is 1164482303, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-09-23.