NPIMap

Individual provider Active NPI

Keith Richard Kearney, DO

  • Gastroenterology Physician
  • Sellersville, PA
National Provider Identifier
1245396019
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
OS013772 Issued in PA
Practice address
1107 Bethlehem Pike
Sellersville, PA 18960-1454
Phone
(215) 257-3011
Fax
(215) 257-3437
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X OS013772 PA Primary

Addresses

Primary practice location

1107 Bethlehem Pike
Sellersville, PA 18960-1454

Mailing address

1107 Bethlehem Pike
Sellersville, PA 18960-1454
Phone (215) 257-3011

Other identifiers 1

IdentifierTypeStateIssuer
1024557550001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070308000169 PA Practitioner - GastroenterologyPractitioner - Internal Medicine 0648373837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

1107 Bethlehem Pike
Sellersville, PA 18960-1454
Phone (267) 985-5000

142 Clemens Rd
Harleysville, PA 19438-2010

3000 St Lukes Dr
Quakertown, PA 18951-1696
Phone (484) 526-3950

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (484) 822-5700

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057
  • St Luke'S Hospital - Upper Bucks Campus Hospital, Quakertown, PA, CCN 390035
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy195
Upper gastrointestinal (GI) endoscopy for acid reflux152

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS013772PAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St Luke'S Physician Group Inc CurrentSince Feb 1, 2019 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Feb 1, 2019 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

270 Main St
Ste 1A
Harleysville, PA 19438
Phone (215) 513-3986

1021 Park Ave
Ste 200
Quakertown, PA 18951
Phone (215) 538-1300

1107 Bethlehem Pike
Sellersville, PA 18960
Phone (215) 257-3011

Interoperability endpoints

  • Direct secure messaging: keith.kearney@slpg.direct-sluhn.org

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1245396019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 BETHLEHEM PIKE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601454",
            "telephone_number": "215-257-3011",
            "fax_number": "215-257-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 BETHLEHEM PIKE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601454",
            "telephone_number": "215-257-3011",
            "fax_number": "215-257-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNEY",
        "first_name": "KEITH",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "OS013772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024557550001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersville, PA

Sources for this page

Verify at the official NPI Registry.