Active NPI
Kyle Keane, D.O.
- Sports Medicine (Family Medicine) Physician
- East Patchogue, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 281433
- Practice address
- 285 Sills Rd BLDG 18
East Patchogue, NY 11772 - Phone
- (631) 475-1224
- Fax
- (631) 475-1588
- NPI assigned
- Apr 29, 2014
- 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 |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 281433 | NY | Primary |
Addresses
Primary practice location
285 Sills Rd BLDG 18
East Patchogue, NY 11772
Mailing address
285 Sills Rd BLDG 18
East Patchogue, NY 11772-4808
Phone (631) 475-1224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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
- Sports Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
715 Roanoke Ave
Riverhead, NY 11901-2769
Phone (516) 541-5500
Hospital & facility affiliations
- Suny/Stony Brook University Hospital
- St Charles Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Assoc of Long Island Physicians & Medical Group PLLC | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Orthopedic Assoc of Long Island Physicians & Medical Group PLLC | Current | Accepting new patients | |
| New York University | Current | Accepting new patients |
Locations
285 Sills Rd
Bldg 18
East Patchogue, NY 11772
Phone (631) 475-1241
285 Sills Rd
Bldg 5-6E
East Patchogue, NY 11772
Phone (631) 475-2858
6 Technology Dr
Ste 100
East Setauket, NY 11733
Phone (631) 371-2685
13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
715 Roanoke Ave
Ste 4
Riverhead, NY 11901
Phone (631) 963-4760
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- kkeane504242@nyumc.direct-ci.com
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- East Setauket, NY
- NPI 1225593809
-
- Durable Medical Equipment & Medical Supplies
- Centereach, NY
- NPI 1235943572
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1164481529
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565827200000",
"number": "1689084626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 SILLS RD BLDG 18",
"city": "EAST PATCHOGUE",
"state": "NY",
"postal_code": "117724808",
"telephone_number": "631-475-1224",
"fax_number": "631-475-1588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 SILLS RD BLDG 18",
"city": "EAST PATCHOGUE",
"state": "NY",
"postal_code": "11772",
"telephone_number": "631-475-1224",
"fax_number": "631-475-1588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEANE",
"first_name": "KYLE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-29",
"last_updated": "2019-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "NY",
"license": "281433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.