Active NPI
Vincent P Keating, M.D.
- Clinical Cardiac Electrophysiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 01072455A
- Practice address
- 1402 E County Line Rd
Ste 2400
Indianapolis, IN 46227-0963 - Phone
- (317) 887-7880
- Fax
- (317) 887-7886
- NPI assigned
- Feb 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 51704-20 | WI | |
| Cardiovascular Disease Physician | 207RC0000X | 01072455A | IN | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 51704-20 | WI | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 01072455A | IN | Primary |
| Internal Medicine Physician | 207R00000X | 34760 | AZ |
Addresses
Primary practice location
1402 E County Line Rd
Ste 2400
Indianapolis, IN 46227-0963
Mailing address
6626 E 75TH St
Suite 500
Indianapolis, IN 46250-2805
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201153640 | Medicaid | IN | |
| P01222133 | Other | IN | RR MEDICARE PTAN |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Indiana University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Hospital LN
Suite 210
Danville, IN 46122-1845
Phone (317) 718-9040
1130 W Jefferson St
Suite D
Franklin, IN 46131-2760
Phone (317) 736-7651
1210 Medical Arts Blvd
Anderson, IN 46011-3437
1400 N Ritter Ave
Indianapolis, IN 46219-3052
1402 E County Line Rd
Indianapolis, IN 46227-0963
Phone (317) 887-7113
1402 E County Rd S
Suite 2400
Indianapolis, IN 46227-0963
Phone (317) 497-6666
1440 E County Line Rd
Indianapolis, IN 46227-0963
1500 N Ritter Ave
Indianapolis, IN 46219-3027
1515 N Madison Ave
Anderson, IN 46011-3453
3500 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 453-8571
3504 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 453-8600
3506 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 865-6700
3508 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 776-5704
3510 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 864-8765
3512 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 865-6633
3548 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 773-8403
7120 Clearvista Dr
Suite 4000
Indianapolis, IN 46256-1774
Phone (317) 621-7444
7150 Clearvista Dr
Indianapolis, IN 46256-1695
Phone (317) 621-6262
8075 N Shadeland Ave
Indianapolis, IN 46250-2693
8075 N Shadeland Ave
Indianapolis, IN 46250-2694
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 61 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34760 | AZ | MD | Internal Medicine Physician |
| 01072455A | IN | MD | Clinical Cardiac Electrophysiology Physician |
| 51704-20 | WI | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Internal Medicine | Current | Accepting new patients |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Community Physician Network Specialty Care LLC | Cardiovascular Disease | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
5918 Reliable Pkwy
Chicago, IL 60686
5819 Reliable Pkwy
Chicago, IL 60686
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
8075 N Shadeland Ave
Ste 120
Indianapolis, IN 46250
Phone (317) 353-9338
8075 N Shadeland Ave
Indianapolis, IN 46250
Phone (317) 621-8000
1402 E County Line Rd
Ste 2400
Indianapolis, IN 46227
Phone (317) 887-7880
Interoperability endpoints
- vkeating83495@ecommunitydirect.com
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1588535496
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
Internal Medicine
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1619163854
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1235109778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1871569103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST",
"address_2": "SUITE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 E COUNTY LINE RD",
"address_2": "STE 2400",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462270963",
"telephone_number": "317-887-7880",
"fax_number": "317-887-7886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEATING",
"first_name": "VINCENT",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "51704-20",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01072455A",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "WI",
"license": "51704-20",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "IN",
"license": "01072455A",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "34760",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201153640",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PTAN",
"identifier": "P01222133",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.