Individual provider Active NPI

Gregory M Keelen, DO

  • Emergency Medicine Physician
  • Denison, TX
National Provider Identifier
1811905227
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M1822 Issued in TX
Practice address
5016 US-75
TMC Emergency Department
Denison, TX 75020
Phone
(214) 433-9602
Fax
(214) 433-9602
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X M1822 TX Primary

Addresses

Primary practice location

5016 US-75
TMC Emergency Department
Denison, TX 75020

Mailing address

5016 US Hwy 75
Denison, TX 75020-4584
Phone (214) 433-9602

Other identifiers 3

IdentifierTypeStateIssuer
P00312435OtherTXRR MEDICARE
188205201MedicaidTX
8V3644OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061027000198 TX Practitioner - Emergency Medicine 6002813417 Reassigns benefits to 3 organizations
I20180523000847 OK Practitioner - Emergency Medicine 6002813417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ies Central Texas PLLCGroup PAC ID 3476922576, 33 clinicians
Level One Emergency Physicians LLCGroup PAC ID 7810371044, 29 clinicians

Practice addresses (Care Compare)

2710 W Hackberry LN
Anna, TX 75409-2573
Phone (214) 831-2600

5016 S US Hwy 75
Denison, TX 75020-4584
Phone (903) 416-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2219NEMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Level One Allied Health Emergency Medicine CurrentSince Jan 21, 2024 Accepting new patients
Level One Emergency Specialists LLC Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients
Level One Emergency Physicians LLC Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients
Truepartners Northwest Emergency Associates PLLC Emergency Medicine CurrentSince Apr 1, 2017 Accepting new patients
Ies ER Oklahoma LLC Emergency Medicine CurrentSince Jan 27, 2026 Accepting new patients
Uhs of Texoma, Inc Past Accepting new patients
Saint Francis Hospital Muskogee Inc Past Accepting new patients

Locations

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

2710 W Hackberry Ln
Anna, TX 75409
Phone (214) 831-2600

5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637

4226 N US Highway 75
Sherman, TX 75090
Phone (903) 487-0857

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1811905227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 US HWY 75",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204584",
            "telephone_number": "214-433-9602",
            "fax_number": "972-390-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 US-75",
            "address_2": "TMC EMERGENCY DEPARTMENT",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "75020",
            "telephone_number": "214-433-9602",
            "fax_number": "214-433-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELEN",
        "first_name": "GREGORY",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M1822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00312435",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188205201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8V3644",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.