Individual provider Active NPI

Thomas Earl Keane, MD

  • Vascular & Interventional Radiology Physician
  • Oak Brook, IL
National Provider Identifier
1184879710
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
036126957 Issued in IL
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

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00821020OtherOHRAIL ROAD MEDICARE
3810017563MedicaidWV
1184879710MedicaidWI
2998476MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI, DC, PA, MD5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20190627001045 FL Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 1254472830
I20220714001149 WI Practitioner - Diagnostic Radiology 1254472830 Reassigns benefits to 2 organizations
I20230920002050 DC Practitioner - Diagnostic Radiology 1254472830 Reassigns benefits to 2 organizations
I20240812004254 PA Practitioner - Diagnostic Radiology 1254472830 Reassigns benefits to 1 organization
I20250203000505 MD Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 1254472830 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0068081MDMDDiagnostic Radiology Physician
233410NYMDVascular & Interventional Radiology Physician
35.094295OHMDVascular & Interventional Radiology Physician
MD439754PAMDVascular & Interventional Radiology Physician
77789WIMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Services of Holy Cross CurrentSince Aug 7, 2023 Accepting new patients
Methodist Associates in Healthcare, Inc. CurrentSince Aug 5, 2024 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Jun 8, 2022 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology CurrentSince Feb 3, 2025 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Aug 5, 2024 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Jun 8, 2022 Accepting new patients
Methodist Associates in Healthcare, Inc Diagnostic Radiology Current Accepting new patients
Professional Services of Holy Cross CurrentSince Aug 7, 2023 Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Jun 17, 2022 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology CurrentSince Feb 3, 2025 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 PastSince Jun 11, 2023 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology PastSince Jan 26, 2025 Accepting new patients
Osu Radiology LLC Diagnostic Radiology PastSince Oct 1, 2005 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

  • Direct secure messaging: tkeane567837@direct.froedtert.com
  • Direct secure messaging: 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.

View all 15

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

Verify at the official NPI Registry.