Individual provider Active NPI

Marguerite Alanna Keane, MD

  • Pediatrics Physician
  • Chandler, AZ
National Provider Identifier
1710138250
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
40986 Issued in AZ
Practice address
595 N Dobson Rd Ste A18
Chandler, AZ 85224-4237
Phone
(480) 821-1400
Fax
(480) 821-2210
NPI assigned
Oct 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 40986 AZ Primary

Addresses

Primary practice location

595 N Dobson Rd Ste A18
Chandler, AZ 85224-4237

Mailing address

861 N Higley Rd
Ste B101
Gilbert, AZ 85234-9602
Phone (480) 664-6400

Other identifiers 1

IdentifierTypeStateIssuer
377339MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160725002219 AZ Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1153614474

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Acts of Kidness Pediatrics PLLC Pediatrics Past Accepting new patients
Healing Hearts Pediatrics Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/13750/brand/1/csg/1/fhir/r4
  • Direct secure messaging: marguerite.keane.1@13750.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1710138250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 N HIGLEY RD",
            "address_2": "STE B101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852349602",
            "telephone_number": "480-664-6400",
            "fax_number": "480-500-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 N DOBSON RD STE A18",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244237",
            "telephone_number": "480-821-1400",
            "fax_number": "480-821-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEANE",
        "first_name": "MARGUERITE",
        "middle_name": "ALANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "40986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377339",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.