Individual provider Active NPI

Stephanie R Killeen, M.D.

  • Obstetrics & Gynecology Physician
  • Westbury, NY
National Provider Identifier
1417211004
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
284804 Issued in NY
Practice address
372 Post Ave Ste 106
Westbury, NY 11590-2201
Phone
(516) 333-1444
Fax
(516) 333-2725
NPI assigned
Jun 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301116986 MI
Obstetrics & Gynecology Physician 207V00000X DR.0060045 CO
Obstetrics & Gynecology Physician 207V00000X 284804 NY Primary

Addresses

Primary practice location

372 Post Ave Ste 106
Westbury, NY 11590-2201

Mailing address

372 Post Ave Ste 106
Westbury, NY 11590-2201
Phone (516) 333-1444

Other names 1

  • Dr. Stephanie Rhiannon Wilkins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CO2 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
I20170117000704 NY Practitioner - Obstetrics/Gynecology 7315229960 Reassigns benefits to 2 organizations
I20180918003784 CO Practitioner - Obstetrics/Gynecology 7315229960 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayer J Saad MD PCGroup PAC ID 2769629914, 44 clinicians

Practice addresses (Care Compare)

372 Post Ave
Suite 106
Westbury, NY 11590-2201
Phone (516) 333-1444

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
284804NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Aug 6, 2020 Accepting new patients
New York University CurrentSince Jul 16, 2017 Accepting new patients
New York University Obstetrics & Gynecology CurrentSince Jul 16, 2017 Accepting new patients
Mayer J. Saad MD P.C. CurrentSince Jun 1, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Aug 6, 2020 Accepting new patients
Intermountain Medical Group Denver, LLC Obstetrics & Gynecology Current Accepting new patients
Montrose Memorial Hospital, Inc Current Accepting new patients
Montrose Memorial Hospital, Inc CurrentSince Sep 15, 2024 Accepting new patients
Montrose Memorial Hospital, Inc Past Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients

Locations

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

3330 S Rio Grande Ave
Ste 200
Montrose, CO 81401
Phone (970) 249-6737

800 S 3rd St
Montrose, CO 81401
Phone (970) 240-2211

10933 71st Rd
Ste 2G
Forest Hills, NY 11375
Phone (718) 263-1963

7309 Myrtle Ave
Fl 2
Glendale, NY 11385

8212 151st Ave
Jamaica, NY 11414
Phone (718) 843-6300

2950 Hempstead Tpke
Levittown, NY 11756
Phone (516) 520-3800

158 Hempstead Ave
Lynbrook, NY 11563
Phone (516) 593-3541

514 Ocean Ave
Massapequa, NY 11758
Phone (516) 799-2554

38 E 32nd St
Fl 4
New York, NY 10016
Phone (212) 683-3595

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

372 Post Ave
Ste 106
Westbury, NY 11590
Phone (516) 333-1444

Organizations & group practices 11

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": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1417211004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 POST AVE STE 106",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902201",
            "telephone_number": "516-333-1444",
            "fax_number": "516-333-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 POST AVE STE 106",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902201",
            "telephone_number": "516-333-1444",
            "fax_number": "516-333-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLEEN",
        "first_name": "STEPHANIE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301116986",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "DR.0060045",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "284804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "WILKINS",
            "middle_name": "RHIANNON",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westbury, NY

Sources for this page

Verify at the official NPI Registry.