Individual provider Active NPI

Peter Philip McKeown, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • London, KY
National Provider Identifier
1699737494
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
41559 Issued in KY
Practice address
1406 W 5TH St
Ste 303
London, KY 40741-1688
Phone
(606) 862-9280
Fax
(859) 862-9290
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 2005-01855 NC
Surgery Physician 208600000X 2005-01855 NC
Surgical Critical Care Physician 2086S0102X 2005-01855 NC
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 41559 KY Primary

Addresses

Primary practice location

1406 W 5TH St
Ste 303
London, KY 40741-1688

Mailing address

PO Box 73652
Cleveland, OH 44193-0002
Phone (859) 313-2758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170424001114 SC Practitioner - Thoracic Surgery 8325107808
I20171107003184 TN Practitioner - Thoracic SurgeryPractitioner - Critical Care (Intensivists) 8325107808 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Oct 1, 2017 Accepting new patients
University Health System, Inc Current Accepting new patients
University Health System, Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Oct 1, 2017 Accepting new patients
Carolinaeast Physicians Past Accepting new patients

Locations

1940 Alcoa Hwy
Ste E40
Knoxville, TN 37920
Phone (865) 305-5510

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

1940 Alcoa Hwy
Ste E260
Knoxville, TN 37920
Phone (865) 305-6955

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.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1699737494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73652",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930002",
            "telephone_number": "859-313-2758",
            "fax_number": "859-276-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 W 5TH ST",
            "address_2": "STE 303",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411688",
            "telephone_number": "606-862-9280",
            "fax_number": "859-862-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEOWN",
        "first_name": "PETER",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NC",
            "license": "2005-01855",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2005-01855",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NC",
            "license": "2005-01855",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "KY",
            "license": "41559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.