Individual provider Active NPI

Keenan Paul Laraway, M.D.

  • Internal Medicine Physician
  • Cresco, IA
National Provider Identifier
1447631965
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD48294 Issued in IA
Practice address
321 8TH Ave W
Cresco, IA 52136-1064
Phone
(563) 547-2022
Fax
(563) 547-4340
NPI assigned
Jun 10, 2015
Last updated
May 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD48294 IA Primary

Addresses

Primary practice location

321 8TH Ave W
Cresco, IA 52136-1064

Mailing address

321 8TH Ave W
Cresco, IA 52136-1064
Phone (563) 547-2022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20210416001022 IA Practitioner - Internal Medicine 4284947763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Health Services of Howard CountyGroup PAC ID 1153238977, shared by 10 NPIs, 27 clinicians

Practice addresses (Care Compare)

235 8TH Ave W
Cresco, IA 52136-1062
Phone (563) 547-2101

321 8TH Ave W
Cresco, IA 52136-1064
Phone (563) 547-2021

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD48294IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services of Howard County CurrentSince Mar 31, 2025 Accepting new patients
Regional Health Services of Howard County Current Accepting new patients
Regional Health Services of Howard County CurrentSince Mar 31, 2025 Accepting new patients

Locations

235 8th Ave W
Cresco, IA 52136
Phone (319) 547-2101

321 8th Ave W
Cresco, IA 52136
Phone (563) 547-2021

Interoperability endpoints

  • Direct secure messaging: keenan.laraway@avera.sdhealthlink.net
  • Direct secure messaging: klaraway268563@uihcdirect.org

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1447631965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 8TH AVE W",
            "city": "CRESCO",
            "state": "IA",
            "postal_code": "521361064",
            "telephone_number": "563-547-2022",
            "fax_number": "563-547-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 8TH AVE W",
            "city": "CRESCO",
            "state": "IA",
            "postal_code": "521361064",
            "telephone_number": "563-547-2022",
            "fax_number": "563-547-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARAWAY",
        "first_name": "KEENAN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-10",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD48294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cresco, IA

Sources for this page

Verify at the official NPI Registry.