Individual provider Active NPI

Gwenn S O'Keeffe, M.D.

  • Pediatrics Physician
  • Shrewsbury, MA
National Provider Identifier
1245201375
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
205039 Issued in MA
Practice address
910 Boston Tpke Ste 3
Shrewsbury, MA 01545-3396
Phone
(617) 966-1260
Fax
(617) 762-1278
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 205039 MA Primary

Addresses

Primary practice location

910 Boston Tpke Ste 3
Shrewsbury, MA 01545-3396

Mailing address

41 Deer Path
Hudson, MA 01749-2639
Phone (617) 803-0709

Other identifiers 5

IdentifierTypeStateIssuer
0197742MedicaidMA
205039OtherMATUFTS
J22828OtherMABLUE CROSS
AA26004OtherMAHARVARD PILGRIM
0020248OtherMANEIGHBORHOOD HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cortica ABA Therapies PA PastSince Sep 21, 2025 Accepting new patients
Springtide Child Development, Inc. Past Accepting new patients
Cortica Developmental Therapies PA PastSince Sep 21, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gwenn.okeeffe.1@14973.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1245201375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 DEER PATH",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017492639",
            "telephone_number": "617-803-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 BOSTON TPKE STE 3",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453396",
            "telephone_number": "617-966-1260",
            "fax_number": "617-762-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'KEEFFE",
        "first_name": "GWENN",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "205039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0197742",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "205039",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "J22828",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA26004",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "0020248",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.