Active NPI
Keith L Callahan, M.D.
- Family Medicine Physician
- Warwick, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD12303
- Practice address
- 390 Toll Gate Rd
Suite 108
Warwick, RI 02886-4326 - Phone
- (401) 921-5672
- Fax
- (401) 921-5679
- NPI assigned
- Sep 20, 2005
- Last updated
- Aug 14, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD12303 | RI | Primary |
Addresses
Primary practice location
390 Toll Gate Rd
Suite 108
Warwick, RI 02886-4326
Mailing address
390 Toll Gate Rd
Suite 108
Warwick, RI 02886-4326
Phone (401) 921-5672
Other practice location 1
1199 Reservoir Ave
Cranston, RI 02920-6008
Phone (401) 382-4580
Other practice location 2
2220 Plainfield Pike
Cranston, RI 02921-2031
Phone (401) 585-8500
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 414283 | Other | RI | BLUE CHIP |
| 32250-6 | Other | RI | BLUE CROSS |
| 810900591 | Other | RI | MULTIPLAN/PHCS |
| 9201212 | Other | RI | CIGNA |
| 496-667 | Other | RI | TUFTS |
| AA98861 | Other | RI | HARVARD PILGRIM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Rush Medical College of Rush University, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
390 Toll Gate Rd
Suite 108
Warwick, RI 02886-4326
Phone (401) 921-5672
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD12303 | RI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keith L. Callahan M.D., P.C. | Current | Accepting new patients | |
| Copley Memorial Hospital Inc. | Family Medicine | Past | Accepting new patients |
Locations
390 Toll Gate Rd
Ste 108
Warwick, RI 02886
Phone (401) 739-7210
470 Toll Gate Rd
Ste 103
Warwick, RI 02886
Phone (401) 921-5672
Interoperability endpoints
- kcallahan@direct.carene.org
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Warwick, RI
- NPI 1558556266
-
dba Rush-Copley Family Medicine Center
- Family Medicine Physician
- Aurora, IL
- NPI 1629003165
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba dba VNA of Care New England
- Home Health Agency
- Warwick, RI
- NPI 1043219553
-
dba d/b/a VNA of Care New England
- Community Based Hospice Care Agency
- Warwick, RI
- NPI 1093714545
-
dba Kent County Hospital Rehab Unit
- Rehabilitation Hospital Unit
- Warwick, RI
- NPI 1023017944
-
- General Acute Care Hospital
- Warwick, RI
- NPI 1386643294
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
-
- General Acute Care Hospital
- Providence, RI
- NPI 1447233788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1629063219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 TOLL GATE RD",
"address_2": "SUITE 108",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864326",
"telephone_number": "401-921-5672",
"fax_number": "401-921-5679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 TOLL GATE RD",
"address_2": "SUITE 108",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864326",
"telephone_number": "401-921-5672",
"fax_number": "401-921-5679"
}
],
"practiceLocations": [
{
"address_1": "1199 Reservoir Ave",
"address_purpose": "LOCATION",
"city": "Cranston",
"state": "RI",
"postal_code": "029206008",
"country_code": "US",
"telephone_number": "401-382-4580",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2220 Plainfield Pike",
"address_purpose": "LOCATION",
"city": "Cranston",
"state": "RI",
"postal_code": "029212031",
"country_code": "US",
"telephone_number": "401-585-8500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALLAHAN",
"first_name": "KEITH",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "RI",
"license": "MD12303",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "414283",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "32250-6",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN/PHCS",
"identifier": "810900591",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9201212",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "496-667",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA98861",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.