Active NPI
Daniel G Kean II, MD
- Physical Medicine & Rehabilitation Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 00025358
- Practice address
- 315 E Broadway
Suite 185
Louisville, KY 40202-3700 - Phone
- (502) 629-5455
- Fax
- (502) 629-4151
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 00025358 | AL | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 48767 | KY |
Addresses
Primary practice location
315 E Broadway
Suite 185
Louisville, KY 40202-3700
Mailing address
PO Box 766351
Chicago, IL 60677-6351
Phone (502) 588-9490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100405490 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Meharry Medical College School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2355 Poplar Level Rd
Suite 304
Louisville, KY 40217-1388
Phone (502) 629-5455
315 E Broadway
Suite 185 C
Louisville, KY 40202-3702
Phone (502) 629-5455
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.11 of 100
- Quality
- 63.34
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00025358 | AL | MD | Physical Medicine & Rehabilitation Physician |
| 48767 | KY | MD | Physical Medicine & Rehabilitation Physician |
| 0101240516 | VA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Hospitals, Inc | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Norton Hospitals Inc | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients |
Locations
315 E Broadway
Ste 185C
Louisville, KY 40202
Phone (502) 629-5455
4915 Norton Healthcare Blvd
Ste 404
Louisville, KY 40241
Phone (502) 629-5455
2355 Poplar Level Rd
Ste 304
Louisville, KY 40217
Phone (502) 629-5455
315 E Broadway
Ste 185
Louisville, KY 40202
Phone (502) 629-4150
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
Interoperability endpoints
- dkean96810@direct.nortonhealthcare.org
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1073568879
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1588614994
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
- Pain Medicine Physician
- Louisville, KY
- NPI 1548152242
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1447388335
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1699514463
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1831195908
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1891799227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469059200000",
"number": "1407866528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 766351",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776351",
"telephone_number": "502-588-9490",
"fax_number": "502-272-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 E BROADWAY",
"address_2": "SUITE 185",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402023700",
"telephone_number": "502-629-5455",
"fax_number": "502-629-4151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEAN",
"first_name": "DANIEL",
"middle_name": "G",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2016-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "AL",
"license": "00025358",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "KY",
"license": "48767",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100405490",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.