Jennifer Newman Keagle, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

A64773 Issued in CA

Practice address

2614 Arthur St
Los Angeles, CA 90065-3988

Phone

(213) 250-1300

NPI assigned

Aug 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Plastic and Reconstructive Surgery

Education

Northwestern University Feinberg Medical School, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Keagle Medical, Inc.

  • Plastic and Reconstructive Surgery Physician
  • Los Angeles, CA
  • NPI 1770720641
  Medicare reassignment NPD Authorized official
• Anita Patel, M.D., Inc.

  • Plastic and Reconstructive Surgery Physician
  • Beverly Hills, CA
  • NPI 1255579272
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1154434306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 ARTHUR ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653988",
            "telephone_number": "213-250-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 ARTHUR ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653988",
            "telephone_number": "213-250-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEAGLE",
        "first_name": "JENNIFER",
        "middle_name": "NEWMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A64773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PPIN #",
            "identifier": "00A647730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dong Qing Ke, ACUPUNCTURIST
• Jasmine C Ke, MD
• Michelle Ke, PHARMD
• Jon P Kea, M,D.
• Keagle Medical, Inc.
• Colin P Kealey, MD
• Allison J Kean, MD
• Alyssa M Keane, ACSW
• Jessica Elaine Keane, LMFT
• Michael Patrick Keane, MD

• Plastic and Reconstructive Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.