Active NPI
Shevaughn M Kealy, M.D
- Family Medicine Physician
- Greenfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 261914
- Practice address
- 143 Munson St
Greenfield, MA 01301-9694 - Phone
- (413) 773-8428
- Fax
- (413) 582-3164
- NPI assigned
- May 7, 2013
- Sex
- Female
- 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 | 261914 | MA | Primary |
Addresses
Primary practice location
143 Munson St
Greenfield, MA 01301-9694
Mailing address
Veterans Affairs Medical Center
421 North Main Street
Leeds, MA 01053-9764
Phone (413) 584-4040
Other practice location 1
424 Russell St
Hadley, MA 01035-9579
Phone (413) 253-0483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10 Denniston PL
Womens Health
Northampton, MA 01060-2052
Phone (413) 586-9866
12 College Hwy
Southampton, MA 01073-9406
Phone (413) 527-1105
30 Locust St
Northampton, MA 01060-2052
Phone (413) 582-2441
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 272067 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care Physician of New York-Hartsdale PLLC | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Massachusetts | Current | Accepting new patients | |
| Mass General Brigham Medical Group Western Massachusetts Inc | Past | Accepting new patients |
Locations
359 N Central Ave
Hartsdale, NY 10530
Phone (914) 448-2273
423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Northampton, MA
- NPI 1295787919
-
- Urgent Care Clinic/Center
- Bronx, NY
- NPI 1770885808
-
- Urgent Care Clinic/Center
- Hadley, MA
- NPI 1558882845
-
- Urgent Care Clinic/Center
- Springfield, MA
- NPI 1285093393
-
- Psychiatry Physician
- Northampton, MA
- NPI 1942605373
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Northampton, MA
- NPI 1477596310
-
- Psychiatric Hospital Unit
- Northampton, MA
- NPI 1871512814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1740625565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VETERANS AFFAIRS MEDICAL CENTER",
"address_2": "421 NORTH MAIN STREET",
"city": "LEEDS",
"state": "MA",
"postal_code": "010539764",
"telephone_number": "413-584-4040",
"fax_number": "413-582-3107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 MUNSON ST",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013019694",
"telephone_number": "413-773-8428",
"fax_number": "413-582-3164"
}
],
"practiceLocations": [
{
"address_1": "424 Russell St",
"address_purpose": "LOCATION",
"city": "Hadley",
"state": "MA",
"postal_code": "010359579",
"country_code": "US",
"telephone_number": "413-253-0483",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEALY",
"first_name": "SHEVAUGHN",
"middle_name": "M",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-07",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "261914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.