Individual provider Active NPI

Keegan Massey, M.D.

  • Emergency Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1427319979
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
Q2799 Issued in TX
Practice address
2601 Hospital Blvd
Suite 117
Corpus Christi, TX 78405-1815
Phone
(361) 902-4789
Fax
(361) 902-4588
NPI assigned
May 31, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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 Q2799 TX Primary

Addresses

Primary practice location

2601 Hospital Blvd
Suite 117
Corpus Christi, TX 78405-1815

Mailing address

2601 Hospital Blvd
Suite 117
Corpus Christi, TX 78405-1815
Phone (361) 902-4789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150506000960 TX Practitioner - Emergency Medicine 4880810514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2323 Clear Lake City Blvd
Suite 130
Houston, TX 77062-8040
Phone (832) 805-4054

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frio Hospital Association CurrentSince Apr 27, 2015 Accepting new patients
Frio Hospital Association Emergency Medicine CurrentSince Apr 27, 2015 Accepting new patients
Priority MD Management PLLC CurrentSince Nov 1, 2023 Accepting new patients
Baytown First ER PastSince Mar 1, 2021 Accepting new patients
Supreme Care ER LP PastSince Jul 13, 2021 Accepting new patients

Locations

2323 Clear Lake City Blvd
Ste 130
Houston, TX 77062
Phone (281) 488-5877

151 Medical Dr
Pearsall, TX 78061
Phone (830) 334-4126

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.

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1427319979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 HOSPITAL BLVD",
            "address_2": "SUITE 117",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051815",
            "telephone_number": "361-902-4789",
            "fax_number": "361-902-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 HOSPITAL BLVD",
            "address_2": "SUITE 117",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051815",
            "telephone_number": "361-902-4789",
            "fax_number": "361-902-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "KEEGAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-31",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q2799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.