Eamonn M Keane, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01069866A Issued in IN

Practice address

275 W 12TH St
Peru, IN 46970-1638

Phone

(765) 472-8000

NPI assigned

May 14, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Family Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rpinmd LLCGroup PAC ID 4183014616, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eleos Hospice Care Hospice, Fort Wayne, IN, CCN 151631
• Solace Hospice LLC Hospice, Roanoke, IN, CCN 151662
• Dunes Hospice LLC Hospice, Valparaiso, IN, CCN 151614
• Dukes Memorial Hospital Hospital, Peru, IN, CCN 151318
• Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017
• Hickory Creek at Peru Nursing home, Peru, IN, CCN 155406
• Lutheran Life Villages Nursing home, Fort Wayne, IN, CCN 155586

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Henry County Memorial Hospital

  • Skilled Nursing Facility
  • Peru, IN
  • NPI 1164451944

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Rpinmd LLC

  • Family Medicine Physician
  • Fort Wayne, IN
  • NPI 1710643085

  Family Medicine, IN

  Medicare reassignment Care Compare group NPD
• Emergency Professionals of Indiana, P.C.

  • Emergency Medicine Physician
  • Fort Wayne, IN
  • NPI 1013951219

  Emergency Medicine, IN

  Medicare reassignment NPD
• Hospitalist Physicians of Indiana, PC

  • Hospitalist Physician
  • Fort Wayne, IN
  • NPI 1306576277

  Family Medicine, IN

  Medicare reassignment NPD
• Sound Physicians of Indiana, LLC

  • Hospitalist Physician
  • Gary, IN
  • NPI 1528311149

  Family Medicine, IN

  Medicare reassignment NPD
• Sound Physicians of Indiana, LLC

  • Hospitalist Physician
  • Terre Haute, IN
  • NPI 1184063257

  Family Medicine

  NPD
• Emergency Medicine of Indiana

  • Emergency Medicine Physician
  • Fort Wayne, IN
  • NPI 1952356883

  Emergency Medicine

  NPD (past)
• Emergency Medicine of Indiana LLC

  • Emergency Medicine Physician
  • Fort Wayne, IN
  • NPI 1881969418

  Emergency Medicine

  NPD (past)
• Innovative Hospital Care Inc

  • Hospitalist Physician
  • Peru, IN
  • NPI 1427298330
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adams County Memorial Hospital

  • Skilled Nursing Facility
  • Fort Wayne, IN
  • NPI 1073554200

  Nursing home

  Care Compare affiliation
• Dukes Health System LLC

  • Critical Access Hospital
  • Peru, IN
  • NPI 1619920949

  Hospital

  Care Compare affiliation
• Dunes Hospice LLC

  • Community Based Hospice Care Agency
  • Valparaiso, IN
  • NPI 1609280015

  Hospice

  Care Compare affiliation
• Eleos,LLC

  • Community Based Hospice Care Agency
  • Fort Wayne, IN
  • NPI 1205479383

  Hospice

  Care Compare affiliation
• Henry County Memorial Hospital

  • Skilled Nursing Facility
  • Peru, IN
  • NPI 1164451944

  Nursing home

  Care Compare affiliation
• Iom Health System LP

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1306897335

  Hospital

  Care Compare affiliation
• Solace Hospice, LLC

  • Community Based Hospice Care Agency
  • Roanoke, IN
  • NPI 1366200511

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1750558136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 W JEFFERSON BLVD",
            "address_2": "SUITE 2121",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044140",
            "telephone_number": "260-435-7937",
            "fax_number": "260-435-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W 12TH ST",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469701638",
            "telephone_number": "765-472-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7950 W Jefferson Blvd",
            "address_2": "Suite 2121",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468044140",
            "country_code": "US",
            "telephone_number": "260-435-7937",
            "fax_number": "260-435-7933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEANE",
        "first_name": "EAMONN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-14",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01069866A",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01069866A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201020830",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eamonn.keane@lutheranhealthnetwork.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "275 W 12th St",
            "city": "Peru",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469701638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Peru, IN
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.