NPIMap

Individual provider Active NPI

Harry R Keefe, MD

  • Family Medicine Physician
  • Pueblo, CO
National Provider Identifier
1558326264
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25438 Issued in CO
Practice address
1600 N Grand Ave
Ste 310
Pueblo, CO 81003-2700
Phone
(719) 542-0072
Fax
(719) 542-9888
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25438 CO Primary

Addresses

Primary practice location

1600 N Grand Ave
Ste 310
Pueblo, CO 81003-2700

Mailing address

1600 N Grand Ave
Ste 310
Pueblo, CO 81003-2700
Phone (719) 542-0072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120530000271 CO Practitioner - Family Practice 0143483214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Denver, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Primary CareGroup PAC ID 3577988864, 9 clinicians

Practice addresses (Care Compare)

1120 Minnequa Ave
Pueblo, CO 81004-3734
Phone (719) 281-3285

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.69 of 100Reported as group
Quality
71.4
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25438COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Primary Care Family Medicine CurrentSince May 1, 2020 Accepting new patients
Summit Primary Care Family Medicine CurrentSince Dec 16, 2024 Accepting new patients
Summit Primary Care CurrentSince Dec 16, 2024 Accepting new patients

Locations

75 Printers Pkwy
Ste 200
Colorado Springs, CO 80910
Phone (719) 300-1122

300 E Hampden Ave
Ste 201
Englewood, CO 80113
Phone (303) 991-7700

1120 Minnequa Ave
Pueblo, CO 81004
Phone (719) 281-3285

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1558326264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N GRAND AVE",
            "address_2": "STE 310",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032700",
            "telephone_number": "719-542-0072",
            "fax_number": "719-542-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N GRAND AVE",
            "address_2": "STE 310",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032700",
            "telephone_number": "719-542-0072",
            "fax_number": "719-542-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFE",
        "first_name": "HARRY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "25438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.