Individual provider Active NPI

Stephen Christopher Keane, MB BCH

  • Clinical Cardiac Electrophysiology Physician
  • Philadelphia, PA
National Provider Identifier
1043944481
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
LT000929 Issued in PA
Practice address
3400 Spruce St
Philadelphia, PA 19104-4238
Phone
(215) 662-2884
NPI assigned
Jul 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X LT000929 PA Primary

Addresses

Primary practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Mailing address

2015 Walnut St Apt 408
Philadelphia, PA 19103-4480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241008001280 PA Practitioner - Cardiovascular Disease (Cardiology) 2062943590 Reassigns benefits to 1 organization
I20241023003622 NJ Practitioner - Cardiovascular Disease (Cardiology) 2062943590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, shared by 7 NPIs, 793 clinicians

Practice addresses (Care Compare)

1865 Route 70 E 260
Penn Cardiology Cherry Hill
Cherry Hill, NJ 08003-2013
Phone (856) 216-0300

51 N 39TH St 4 HVP
Penn Cardiology Penn Presbyterian 4TH Floor
Philadelphia, PA 19104-2640
Phone (215) 662-9189

605 W State St
Penn Cardiology Media
Media, PA 19063-2620
Phone (610) 566-8688

7133 Roosevelt Blvd
Philadelphia, PA 19149-1431
Phone (215) 333-5604

906 Bethlehem Pike
Erdenheim, PA 19038-7731
Phone (215) 248-1350

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LT000929PAMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Sep 1, 2024 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Sep 1, 2024 Accepting new patients
Clinical Health Care Associates of New Jersey PC Clinical Cardiac Electrophysiology CurrentSince Sep 3, 2024 Accepting new patients
Presbyterian Medical Center of the University of Pennsylvania Health S Past Accepting new patients

Locations

211 S Main St
Ste 205
Cape May Court House, NJ 08210
Phone (609) 463-0800

1865 Route 70 E
Ste 260
Cherry Hill, NJ 08003
Phone (215) 662-9595

3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

1076 E Chestnut Ave
Vineland, NJ 08360
Phone (609) 692-7979

906 Bethlehem Pike
Glenside, PA 19038
Phone (215) 836-2127

605 W State St
Media, PA 19063
Phone (610) 565-8600

7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1043944481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 WALNUT ST APT 408",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEANE",
        "first_name": "STEPHEN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "MB BCH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "PA",
            "license": "LT000929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.