Individual provider Active NPI

Meghan Orris Keaton, M.D.

  • Pediatrics Physician
  • Ann Arbor, MI
National Provider Identifier
1285899427
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301097055 Issued in MI
Practice address
1500 E Medical Center Dr SPC 5212
L2221 Women'S Hospital
Ann Arbor, MI 48109-5212
Phone
(734) 764-4123
NPI assigned
Jul 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 4301097055 MI Primary

Addresses

Primary practice location

1500 E Medical Center Dr SPC 5212
L2221 Women'S Hospital
Ann Arbor, MI 48109-5212

Mailing address

1500 E Medical Center Dr SPC 5212
L2221 Women'S Hospital
Ann Arbor, MI 48109-5212
Phone (734) 764-4123

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mkeaton12969@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20130910000945 OH Practitioner - Pediatric MedicinePractitioner - Pulmonary Disease 8628212800 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301097055MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Toledo Hospital CurrentSince Feb 14, 2024 Accepting new patients
The Toledo Hospital CurrentSince Feb 14, 2024 Accepting new patients
The Toledo Hospital Pediatrics Current Accepting new patients
Promedica Children'S Specialists Pediatrics CurrentSince Aug 1, 2013 Accepting new patients
Toledo Childrens Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1500 E Medical Center Dr
Spc 5212
Ann Arbor, MI 48109
Phone (734) 764-4123

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

2121 Hughes Dr
Ste 640
Toledo, OH 43606
Phone (419) 291-2207

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2121 Hughes Dr
Ste 220
Toledo, OH 43606
Phone (419) 291-7403

Interoperability endpoints

  • Direct secure messaging: mkeaton12969@direct.promedica.org

Organizations & group practices 6

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": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1285899427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR SPC 5212",
            "address_2": "L2221 WOMEN'S HOSPITAL",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095212",
            "telephone_number": "734-764-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR SPC 5212",
            "address_2": "L2221 WOMEN'S HOSPITAL",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095212",
            "telephone_number": "734-764-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATON",
        "first_name": "MEGHAN",
        "middle_name": "ORRIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301097055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkeaton12969@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.