Gary J Keogh, MD

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

24656 Issued in AL

Practice address

3715 Highway 280-431 North
Phenix City, AL 36867

Phone

(251) 633-7211

Fax

(251) 410-6079

NPI assigned

Sep 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Physical Medicine and RehabilitationAlso: Interventional Pain Management

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064
• St Francis Hospital- Emory Healthcare Hospital, Columbus, GA, CCN 110129
• The East Alabama Healthcare Authority Hospital, Opelika, AL, CCN 010029
• Piedmont Columbus Regional Northside Hospital, Columbus, GA, CCN 110200
• Rehabilitation Hospital of Phenix City Inpatient rehabilitation facility, Phenix City, AL, CCN 013033

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Gary Keogh, MD, LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Phenix City, AL
  • NPI 1730372350
  Medicare reassignment NPD Authorized official
• Total Quality Sleep LLC

  • Sleep Medicine (Internal Medicine) Physician
  • Mobile, AL
  • NPI 1336873058
  NPD
• State of New Jersey Omb Centralized Payroll

  • Psychiatric Hospital
  • Trenton, NJ
  • NPI 1467552240
  NPD (past)

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

• Rehabilitation Hospital of Phenix City LLC

  • Rehabilitation Hospital
  • Phenix City, AL
  • NPI 1790754802

  Inpatient rehabilitation facility

  Care Compare affiliation
• The East Alabama Health Care Authority

  • General Acute Care Hospital
  • Opelika, AL
  • NPI 1154386431
  Care Compare affiliation
• Hughston Hospital, Inc.

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1407082308
  Care Compare affiliation
• St Francis Health LLC

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1033228168
  Care Compare affiliation
• The Medical Center Inc

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1255401519
  Care Compare affiliation

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1790779577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4619 SPRING HILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366085709",
            "telephone_number": "251-633-7211",
            "fax_number": "251-410-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 HIGHWAY 280-431 NORTH",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "36867",
            "telephone_number": "251-633-7211",
            "fax_number": "251-410-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEOGH",
        "first_name": "GARY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AL",
            "license": "24656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051005486",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Michael Keating, PHARMD
• Janee Keith
• Kelly Business Ventures
• Bobbie Kelly
• Kent Chiropractic Clinic
• Keshiakares LLC
• Minyoung Kim, PHARMD
• Karen J King, R.N.
• Kevin Richard King, MD
• Kinsaul and Ray Dental Partnership

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Phenix City, AL
• Providers in Phenix City, AL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.

Verify at the official NPI Registry.