Active NPI
Thomas Earl Keane, MD
- Vascular & Interventional Radiology Physician
- Oak Brook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 036126957
- Practice address
- 903 Commerce Dr
Suite 333
Oak Brook, IL 60523-1969 - Phone
- (443) 458-2442
- NPI assigned
- Nov 24, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | D0068081 | MD | |
| Vascular & Interventional Radiology Physician | 2085R0204X | MD439754 | PA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | D68081 | MD | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 233410 | NY | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 35.094295 | OH | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 77789 | WI | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 036126957 | IL | Primary |
Addresses
Primary practice location
903 Commerce Dr
Suite 333
Oak Brook, IL 60523-1969
Mailing address
240 E Illinois St
904
Chicago, IL 60611-5063
Phone (443) 458-2442
Other practice location 1
22 S Greene St
Baltimore, MD 21201-1544
Phone (410) 328-3477
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00821020 | Other | OH | RAIL ROAD MEDICARE |
| 3810017563 | Medicaid | WV | |
| 1184879710 | Medicaid | WI | |
| 2998476 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, WI, DC, PA, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0068081 | MD | MD | Diagnostic Radiology Physician |
| 233410 | NY | MD | Vascular & Interventional Radiology Physician |
| 35.094295 | OH | MD | Vascular & Interventional Radiology Physician |
| MD439754 | PA | MD | Vascular & Interventional Radiology Physician |
| 77789 | WI | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Services of Holy Cross | Current | Accepting new patients | |
| Methodist Associates in Healthcare, Inc. | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| University of Maryland Diagnostic Imaging Specialists P a | Diagnostic Radiology | Current | Accepting new patients |
| Methodist Associates in Healthcare, Inc | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Methodist Associates in Healthcare, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Professional Services of Holy Cross | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients | |
| University of Maryland Diagnostic Imaging Specialists P a | Diagnostic Radiology | Current | Accepting new patients |
| Columbus Radiology Corp | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Imaging of Nebraska, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Associates of S E O LLC | Diagnostic Radiology | Past | Accepting new patients |
| University of Maryland Diagnostic Imaging Specialists P a | Diagnostic Radiology | Past | Accepting new patients |
| Osu Radiology LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
22 S Greene St
Rm N2E23
Baltimore, MD 21201
Phone (410) 328-5656
22 S Greene St
Rm S2A19
Baltimore, MD 21201
Phone (410) 328-1565
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928
5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000
1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230
1200 York Rd
Abington, PA 19001
Phone (215) 481-2222
2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
Interoperability endpoints
- tkeane567837@direct.froedtert.com
- tkeane1239648@direct.umm.edu
Organizations & group practices 15
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.
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053355131
Diagnostic Radiology
-
- Health Service Clinic/Center
- Silver Spring, MD
- NPI 1487692828
DC
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1154335487
DC
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
-
- Neurological Surgery Physician
- Philadelphia, PA
- NPI 1790390813
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1033575352
-
- Health Service Clinic/Center
- Rockville, MD
- NPI 1619787454
-
- Diagnostic Radiology Physician
- Largo, MD
- NPI 1619783974
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1669408159
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1912956814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1184879710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 E ILLINOIS ST",
"address_2": "904",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606115063",
"telephone_number": "443-458-2442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 COMMERCE DR",
"address_2": "SUITE 333",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231969",
"telephone_number": "443-458-2442"
}
],
"practiceLocations": [
{
"address_1": "22 S Greene St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212011544",
"country_code": "US",
"telephone_number": "410-328-3477",
"fax_number": "410-328-3477",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEANE",
"first_name": "THOMAS",
"middle_name": "EARL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-24",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MD",
"license": "D0068081",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "PA",
"license": "MD439754",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MD",
"license": "D68081",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NY",
"license": "233410",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "OH",
"license": "35.094295",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "WI",
"license": "77789",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IL",
"license": "036126957",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00821020",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810017563",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184879710",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2998476",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.