Keith David Clancy, M.D.
Trauma Surgery Physician · Fort Wayne, IN
Keith David Clancy, M.D. is a trauma surgery physician with a practice address in Fort Wayne, Indiana, and NPI 1164482303, issued on Mar 23, 2006. Check the license (Indiana 01079569A, as entered in NPPES) on the Medical Licensing Board of Indiana; the Medicare figures below come from public CMS files.
- Name
- Keith David Clancy
- Credential
- M.D.
- Primary taxonomy
- Trauma Surgery Physician 2086S0127X
- License numbers
- 01079569A IN
036.090092 IL
35.123491 OH
MD067578-L PA
Self-reported in NPPES; status is on the state search - Practice location
- 7900 W Jefferson Blvd Ste 306, Fort Wayne, IN 46804
- Phone
- (260) 458-3610
- Enumerated
- Mar 23, 2006
- Record last updated
- Sep 23, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (260) 458-3611
- Medicaid ID
- 001757641 PA
- Medicare enrollment
- Enrolled (PECOS I20230720000008); accepts Medicare assignment
- Medical or professional school
- Creighton University School Of Medicine, 1992
- Entity
- Type 1 · individual
8 nearest trauma surgery physician records → All 16 in Indiana → Look up another NPI →
Also registered at 7900 W Jefferson Blvd Ste 306
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Cecivon Arreola-Garcia, MDTrauma Surgery Physician1528357118
- Chelsey Buitrago, PAPhysician Assistant1770255762
- Karsten Cooper, PA-CPhysician Assistant1124698311
- Michael Davis, M.D.Plastic Surgery Physician1477622934
- Tianli Du, MDTrauma Surgery Physician1205217148
- Alison Fecher, MDTrauma Surgery Physician1952406910
Verify Keith David Clancy in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Licensing Board of Indiana
Search for license 01079569ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Florida Trauma Services LLCOrange Park, FL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Keith David Clancy among 16 trauma surgery physician records in Indiana
Keith David Clancy, M.D. is one of 16 trauma surgery physician records with a practice address in Indiana. 88% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 19% of them.
- NPI issued2006 · 19% of these records are older, 63% newer
- In a Medicare fileYes · 88% of these records are
- In the CMS Doctors and Clinicians fileYes · 75% of these records are
- Graduated1992 · median 2005 among the 12 with a school on file
- Record last updated2020 · 13% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2086S0127X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Trauma Surgery Physician providers in Indiana
There are 16 trauma surgery physician records in Indiana.
All 16 in Indiana → Every provider in Fort Wayne → Trauma Surgery Physician nationwide →
The 8 trauma surgery physician records with the nearest ZIP codes
- Cecivon Arreola-Garcia, MDFort Wayne, IN 468041528357118
- Paul Bauer, MDFort Wayne, IN 468041083697874
- Tianli Du, MDFort Wayne, IN 468041205217148
- Alison Fecher, MDFort Wayne, IN 468041952406910
- Constantine Saites, MD, MSFort Wayne, IN 468041306098439
- Raymond Cava, MDFort Wayne, IN 468451194726950
- Janette Holub, MD, MPHFort Wayne, IN 468451265609879
- Rachel Saunders, MDFort Wayne, IN 468451639551674
Common questions
What is Keith David Clancy, M.D.'s NPI number?
Keith David Clancy, M.D.'s National Provider Identifier (NPI) is 1164482303, issued on Mar 23, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Keith David Clancy, M.D. located?
The NPPES record lists a practice address at 7900 W Jefferson Blvd Ste 306, Fort Wayne, IN, 46804. Phone: (260) 458-3610. Providers update this record themselves, so call before visiting.
How can I verify Keith David Clancy, M.D.'s license?
NPPES lists Indiana license number 01079569A, as entered by the provider. Search the Medical Licensing Board of Indiana at https://www.in.gov/pla/professions/physicians-home/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.