Individual provider Active NPI

Robert M Keaney, D.O.

  • Emergency Medicine Physician
  • Monterey, CA
National Provider Identifier
1306949672
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20A5333 Issued in CA
Practice address
23625 WR Holman Highway
Monterey, CA 93940
Phone
(831) 624-5311
Fax
(831) 625-4948
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20A5333 CA Primary

Addresses

Primary practice location

23625 WR Holman Highway
Monterey, CA 93940

Mailing address

P O Box HH
Business Development & Contracting
Monterey, CA 93942
Phone (831) 622-2716

Other identifiers 1

IdentifierTypeStateIssuer
020A53330OtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050725001279 CA Practitioner - Emergency Medicine 3375525660 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A5333CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital of the Monterey Peninsula CurrentSince Jan 1, 2012 Accepting new patients
Monterey Bay Observation Medicine Emergency Medicine CurrentSince Feb 17, 2015 Accepting new patients
Community Hospital of the Monterey Peninsula CurrentSince Jan 1, 2012 Accepting new patients

Locations

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306949672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX HH",
            "address_2": "BUSINESS DEVELOPMENT & CONTRACTING",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "93942",
            "telephone_number": "831-622-2716",
            "fax_number": "831-625-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23625 WR HOLMAN HIGHWAY",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "93940",
            "telephone_number": "831-624-5311",
            "fax_number": "831-625-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEANEY",
        "first_name": "ROBERT",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A5333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "020A53330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.