Individual provider Active NPI

Jamie A Keen, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Hines, IL
National Provider Identifier
1144753500
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
03-6164202 Issued in IL
Practice address
5000 S 5TH Ave
Hines, IL 60141-3030
Phone
(708) 202-8387
NPI assigned
Apr 4, 2017
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD-48260 IA
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 03-6164202 IL Primary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X MD-48260 IA

Addresses

Primary practice location

5000 S 5TH Ave
Hines, IL 60141-3030

Mailing address

765 W Adams St Apt 2305
Chicago, IL 60661-3522
Phone (630) 809-2930

Other practice location 1

940 Lee St Ste 200
Des Plaines, IL 60016-6572
Phone (224) 567-8480

Other practice location 2

1000 Randall Rd Ste 100
Geneva, IL 60134-2591
Phone (630) 232-1282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230831003222 IL Practitioner - Ophthalmology 8820362593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geneva Eye Clinic LTDGroup PAC ID 7911042197, 7 clinicians
Chicagoland Oculoplastics Consultants PLLCGroup PAC ID 1254703606, 3 clinicians

Practice addresses (Care Compare)

1000 Randall Rd
Suite 100
Geneva, IL 60134-2591
Phone (630) 232-1282

940 Lee St
Des Plaines, IL 60016-6555
Phone (847) 299-5501

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.51 of 100Reported as group
Quality
99.51
Improvement activities
40
Cost
72.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-48260IAMDOphthalmology Physician
03-6164202ILMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geneva Eye Clinic LTD CurrentSince Aug 14, 2023 Accepting new patients
Geneva Eye Clinic LTD Ophthalmology CurrentSince Aug 14, 2023 Accepting new patients
Chicagoland Oculoplastics Consultants PLLC Ophthalmic Plastic and Reconstructive Surgery CurrentSince Jun 1, 2024 Accepting new patients

Locations

940 Lee St
Des Plaines, IL 60016
Phone (847) 299-5501

940 Lee St
Ste 200
Des Plaines, IL 60016
Phone (224) 567-8480

1000 Randall Rd
Ste 100
Geneva, IL 60134
Phone (630) 232-1282

Interoperability endpoints

  • Direct secure messaging: jkeen@geneva.intellechartdirect.net

Organizations & group practices 3

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

Hospital & facility affiliations 1

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": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1144753500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 W ADAMS ST APT 2305",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606613522",
            "telephone_number": "630-809-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 S 5TH AVE",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601413030",
            "telephone_number": "708-202-8387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 Lee St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Des Plaines",
            "state": "IL",
            "postal_code": "600166572",
            "country_code": "US",
            "telephone_number": "224-567-8480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Randall Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601342591",
            "country_code": "US",
            "telephone_number": "630-232-1282",
            "fax_number": "630-232-7011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEEN",
        "first_name": "JAMIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "MD-48260",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": "03-6164202",
            "primary": true
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "IA",
            "license": "MD-48260",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hines, IL

Sources for this page

Verify at the official NPI Registry.