Kieran Thomas Egan

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

21654 Issued in NH

Practice address

347 Varick St
Apt 118a
Jersey City, NJ 07302-3454

Phone

(239) 272-8142

NPI assigned

May 1, 2017

Last updated

Sep 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

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

Merit-based Incentive Payment System (MIPS)

Final score

85.02 of 100Reported as group

Quality

59.99

Promoting interoperability

99

Improvement activities

40

Cost

74.25

Merit-based Incentive Payment System (MIPS)

Final score

75.94 of 100Reported as group

Quality

47.72

Promoting interoperability

99

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

84.57 of 100Reported as group

Quality

66.56

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
• FHIR API: https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bluewater Emergency Partners of Brunswick, LLC

  • Emergency Medicine Physician
  • Brunswick, ME
  • NPI 1043640204
  Medicare reassignment NPD
• Bridgton Hospital

  • Critical Access Hospital
  • Bridgton, ME
  • NPI 1154370153
  Medicare reassignment NPD
• Calais Community Hospital

  • Critical Access Hospital
  • Calais, ME
  • NPI 1922001049
  Medicare reassignment NPD
• Central Maine Medical Center

  • General Acute Care Hospital
  • Lewiston, ME
  • NPI 1689653487
  Medicare reassignment NPD
• Down East Community Hospital

  • Critical Access Hospital
  • Machias, ME
  • NPI 1528087004
  Medicare reassignment NPD
• Down East Community Hospital

  • General Acute Care Hospital
  • Machias, ME
  • NPI 1689670242
  Medicare reassignment NPD
• Rumford Hospital

  • Critical Access Hospital
  • Rumford, ME
  • NPI 1205991122
  Medicare reassignment NPD
• Bridgton Hospital

  dba Bridgton Hospital Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Bridgton, ME
  • NPI 1477691467
  NPD
• Calais Community Hospital

  dba Baileyville Medical Center

  • Rural Health Clinic/Center
  • Baileyville, ME
  • NPI 1467205112
  NPD
• Central Maine Medical Center

  dba CMMC Specialty Pharmacy

  • Community/Retail Pharmacy
  • Lewiston, ME
  • NPI 1033874458
  NPD
• Down East Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Machias, ME
  • NPI 1336587542
  NPD
• Down East Community Hospital

  dba DECH Family Practic

  • Multi-Specialty Clinic/Center
  • Calais, ME
  • NPI 1972015774
  NPD

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1396270062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407027",
            "telephone_number": "207-795-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 VARICK ST",
            "address_2": "APT 118A",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023454",
            "telephone_number": "239-272-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "KIERAN",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-01",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "21654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angie Ebraheem, MA, LAC
• Sean Bennett Eden, PA-C, MD
• Sarah Edery
• Karlie Edwards, PT, DPT
• Edwin Constantino MD LLC
• Marwa Eid
• Elizabeth Eilender, R.D.
• Roseann Eish, PTA
• Sahar Eivaz Mohammadi, M.D.
• Esmat Mohammad El Halim, PT

• Emergency Medicine Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Emergency Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.