Conor Keeley

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

772 Issued in NC

Practice address

143 Joe Knox Ave Ste 100
Mooresville, NC 28117-9244

Phone

(704) 662-3660

Fax

(704) 662-3660

NPI assigned

Apr 12, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Foot and Ankle Associates PLLCGroup PAC ID 5991742074, 15 clinicians

Comprehab, IncGroup PAC ID 2769653757, 376 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ckeeley663853@direct.medicine.duke.edu
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Foot & Ankle Associates PLLC

  • Foot & Ankle Surgery Podiatrist
  • Huntersville, NC
  • NPI 1538155015
  Medicare reassignment Care Compare group NPD
• Comprehab LLC

  • Physical Therapist
  • Gastonia, NC
  • NPI 1407932775
  Care Compare group

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1447713722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 JOE KNOX AVE STE 100",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179244",
            "telephone_number": "704-662-3660",
            "fax_number": "704-662-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 JOE KNOX AVE STE 100",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179244",
            "telephone_number": "704-662-3660",
            "fax_number": "704-662-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELEY",
        "first_name": "CONOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-12",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Kauffman
• Justin Kauffman, DDS
• KDW Chirocare Inc
• John Scott Keadle, DDS
• Natasha Lynette Kearney, CCC SLP
• Timothy P Kelley, PA-C
• Ingrid Kenron
• Victoria Henderson Kepley, AGNP
• Elizabeth Verdery Kerr
• Kerry L. Musick, MD, PLLC

• Foot & Ankle Surgery Podiatrist in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Foot & Ankle Surgery Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.

Verify at the official NPI Registry.