Individual provider Active NPI

Kirk Arlington Keegan III, MD

  • Urology Physician
  • Nashville, TN
National Provider Identifier
1619959954
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
46405 Issued in TN
Practice address
A1302 Medical Center North - Department of Urologic Sur
Vanderbilt University Medical Center
Nashville, TN 37232-2765
Phone
(615) 322-2101
Fax
(615) 322-8990
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 46405 TN Primary

Addresses

Primary practice location

A1302 Medical Center North - Department of Urologic Sur
Vanderbilt University Medical Center
Nashville, TN 37232-2765

Mailing address

A1302 Medical Center North - Department of Urologic Sur
Vanderbilt University Medical Center
Nashville, TN 37232-2765
Phone (615) 322-2101

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kkeegan26521@direct.vumc.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46405TNMDUrology Physician

Interoperability endpoints

  • Direct secure messaging: kkeegan26521@direct.vumc.org

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1619959954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "A1302 MEDICAL CENTER NORTH - DEPARTMENT OF UROLOGIC SUR",
            "address_2": "VANDERBILT UNIVERSITY MEDICAL CENTER",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372322765",
            "telephone_number": "615-322-2101",
            "fax_number": "615-322-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A1302 MEDICAL CENTER NORTH - DEPARTMENT OF UROLOGIC SUR",
            "address_2": "VANDERBILT UNIVERSITY MEDICAL CENTER",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372322765",
            "telephone_number": "615-322-2101",
            "fax_number": "615-322-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEGAN",
        "first_name": "KIRK",
        "middle_name": "ARLINGTON",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "46405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkeegan26521@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "A1302 Medical Center North - Department of Urologic Sur",
            "address_2": "Vanderbilt University Medical Center",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372322765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.