Individual provider Active NPI

John E Kehoe, M.D.

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1437235165
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
149401 Issued in NY
Practice address
9201 4TH Ave 6TH FL
Brooklyn, NY 11209-7006
Phone
(718) 921-3800
Fax
(718) 921-1168
NPI assigned
Oct 27, 2006
Last updated
Jan 12, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 149401 NY Primary

Addresses

Primary practice location

9201 4TH Ave 6TH FL
Brooklyn, NY 11209-7006

Mailing address

200 E 94TH St
Suite 1816
New York, NY 10128-3903
Phone (718) 921-3800

Other identifiers 4

IdentifierTypeStateIssuer
029443OtherNYAETNA
100093575001OtherNYUHC MEDICAID
149401-NYOtherNY1199
230000738OtherNYRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090225000079 NY Practitioner - Surgical OncologyPractitioner - General SurgeryPractitioner - Diagnostic Radiology 7618032798 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
JS Weill Medical College, Cornell University, 1979
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9711 3Rd Ave
Brooklyn, NY 11209-7717
Phone (718) 921-3800

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy25

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Radiation Oncology PC CurrentSince Sep 1, 2020 Accepting new patients
TBHC Physician Services PC Past Accepting new patients
Northern Boulevard Radiation Oncology LLP Past Accepting new patients

Locations

2101 Avenue X
Brooklyn, NY 11235
Phone (718) 257-0200

2508 Ocean Ave
Brooklyn, NY 11229
Phone (718) 258-1800

9711 3rd Ave
Brooklyn, NY 11209
Phone (718) 833-1808

15806 Northern Blvd
Flushing, NY 11358
Phone (718) 353-3688

61 E 77th St
New York, NY 10075
Phone (212) 772-2130

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1437235165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 94TH ST",
            "address_2": "SUITE 1816",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283903",
            "telephone_number": "718-921-3800",
            "fax_number": "718-921-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 4TH AVE 6TH FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097006",
            "telephone_number": "718-921-3800",
            "fax_number": "718-921-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHOE",
        "first_name": "JOHN",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "149401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "029443",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC MEDICAID",
            "identifier": "100093575001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199",
            "identifier": "149401-NY",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "230000738",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.