Individual provider Active NPI

Anne Keating, M.D.

  • Ophthalmology Physician
  • Fargo, ND
National Provider Identifier
1306089750
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
10073 Issued in ND
Practice address
3171 44TH St S Unit 101
Fargo, ND 58104-1940
Phone
(701) 235-0561
Fax
(701) 235-0330
NPI assigned
Apr 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 239091 MA
Ophthalmology Physician 207W00000X 10073 ND Primary

Addresses

Primary practice location

3171 44TH St S Unit 101
Fargo, ND 58104-1940

Mailing address

3171 44TH St S Unit 101
Fargo, ND 58104-8521
Phone (701) 235-0561

Other practice location 1

1702 University Dr S
Fargo, ND 58103-4940
Phone (701) 364-3300

Other identifiers 1

IdentifierTypeStateIssuer
15370MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100928001030 ND Practitioner - Ophthalmology 7416008800 Reassigns benefits to 1 organization
I20130328000562 MN Practitioner - Ophthalmology 7416008800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Minnesota Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Consultants of Fargo PLLCGroup PAC ID 5890045785, 10 clinicians

Practice addresses (Care Compare)

216 S Main St
Suite 2
Crookston, MN 56716-1939
Phone (701) 253-0561

222 1St St SE
Suite 2
Wadena, MN 56482-1568
Phone (701) 235-0561

315 11TH St N
Suite a
Wahpeton, ND 58075-4101
Phone (701) 235-0561

3171 44TH St S
Unit 101
Fargo, ND 58104-8521
Phone (701) 235-0561

Hospital & facility affiliations

  • St Francis Medical Center Hospital, Breckenridge, MN, CCN 241377
  • Riverview Hospital Hospital, Crookston, MN, CCN 241320
  • Essentia Health Hospital, Fargo, ND, CCN 350070
  • Altru Hospital Hospital, Grand Forks, ND, CCN 350019
  • Sanford Medical Center Fargo Hospital, Fargo, ND, CCN 350011

Merit-based Incentive Payment System (MIPS)

Final score
61.92 of 100Reported as group
Quality
72.3
Improvement activities
40
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery469

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Optical, LLC Current Accepting new patients
Eye Consultants of Fargo, PLLC Ophthalmology CurrentSince Aug 16, 2018 Accepting new patients

Locations

216 S Main St
Ste 2
Crookston, MN 56716
Phone (218) 281-2020

222 1st St SE
Ste 2
Wadena, MN 56482
Phone (701) 253-0561

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000

3171 44th St S
Unit 101
Fargo, ND 58104
Phone (800) 437-4387

100 4th St S
Ste 612
Fargo, ND 58103

Organizations & group practices 2

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1306089750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3171 44TH ST S UNIT 101",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048521",
            "telephone_number": "701-235-0561",
            "fax_number": "701-235-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3171 44TH ST S UNIT 101",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581041940",
            "telephone_number": "701-235-0561",
            "fax_number": "701-235-0330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1702 University Dr S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581034940",
            "country_code": "US",
            "telephone_number": "701-364-3300",
            "fax_number": "701-364-8906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEATING",
        "first_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-15",
        "last_updated": "2021-03-08",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "239091",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ND",
            "license": "10073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15370",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.