Individual provider Active NPI

Devin Mansfield Keefe, MD

  • Emergency Medicine Physician
  • Concord, NH
National Provider Identifier
1750709531
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
18739 Issued in NH
Practice address
250 Pleasant St
Concord, NH 03301-2598
Phone
(603) 225-2711
Fax
(603) 224-6527
NPI assigned
Mar 31, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5028 MD
Emergency Medicine Physician 207P00000X 18739 NH Primary

Addresses

Primary practice location

250 Pleasant St
Concord, NH 03301-2598

Mailing address

250 Pleasant St
Concord, NH 03301-2598
Phone (603) 225-2711

Other practice location 1

1800 Orleans St
Baltimore, MD 21287-0010
Phone (617) 528-0516

Other practice location 2

333 Borthwick Ave Ste 100
Portsmouth, NH 03801-4198
Phone (603) 436-5110

Other identifiers 1

IdentifierTypeStateIssuer
42269MedicaidMA

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL MyHealthOne Health Information Exchange (HIE) Occupational Health Services of Portsmouth Regional Hospital, LLC
CONNECT URL MyHealthOne Health Information Exchange (HIE) Portsmouth Regional Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20180504000147 NH Practitioner - Emergency Medicine 3971728569 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5028MDMDDentist
18739NHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital-Laconia Emergency Medicine CurrentSince Jul 1, 2021 Accepting new patients
Emergency Medicine Services of NH, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Concord Hospital-Franklin Current Accepting new patients

Locations

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220

10 Central Ave
Dover, NH 03820
Phone (603) 740-1500

15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464

26 Plaistow Rd
Plaistow, NH 03865
Phone (603) 257-6100

333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907

603 Lafayette Rd
Seabrook, NH 03874
Phone (603) 474-6400

Organizations & group practices 3

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": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1750709531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012598",
            "telephone_number": "603-225-2711",
            "fax_number": "603-224-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012598",
            "telephone_number": "603-225-2711",
            "fax_number": "603-224-6527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Orleans St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870010",
            "country_code": "US",
            "telephone_number": "617-528-0516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Borthwick Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038014198",
            "country_code": "US",
            "telephone_number": "603-436-5110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEEFE",
        "first_name": "DEVIN",
        "middle_name": "MANSFIELD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "5028",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "18739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42269",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MyHealthOne",
            "affiliation": "Y",
            "endpointDescription": "MediTech secure, HIPAA compliant EHR with MyHealthOne portal for patient access to health information",
            "affiliationName": "Occupational Health Services of Portsmouth Regional Hospital, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "333 Borthwick Ave Ste 100",
            "city": "Portsmouth",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038014198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MyHealthOne",
            "affiliation": "Y",
            "endpointDescription": "Meditech secure, HIPAA compliant EHR used with available MyHealthOne patient portal for secure access to PHI",
            "affiliationName": "Portsmouth Regional Hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "333 Borthwick Ave Ste 100",
            "city": "Portsmouth",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038014198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.