Individual provider Active NPI

Kathy Radie Keane, M.D.

  • Radiation Oncology Physician
  • Providence, RI
National Provider Identifier
1912900879
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
088516 Issued in RI
Practice address
825 N Main St
Providence, RI 02904-5707
Phone
(401) 521-9700
Fax
(401) 751-1686
NPI assigned
May 24, 2005
Last updated
Jan 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 088516 RI Primary

Addresses

Primary practice location

825 N Main St
Providence, RI 02904-5707

Mailing address

PO Box 54589
Los Angeles, CA 90054-0589
Phone (508) 941-7450

Other identifiers 3

IdentifierTypeStateIssuer
7004866MedicaidRI
920005159OtherRIRR MEDICARE
110081540AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20071110000022 MA Practitioner - Radiation Oncology 0042261166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.15 of 100Reported as group
Quality
84.29
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
088516RIMDRadiation Oncology Physician
000000PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brockton Hospital, Inc. Past Accepting new patients
Women & Infants Hospital of Rhode Island Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1912900879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54589",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900540589",
            "telephone_number": "508-941-7450",
            "fax_number": "508-941-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045707",
            "telephone_number": "401-521-9700",
            "fax_number": "401-751-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADIE KEANE",
        "first_name": "KATHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "RI",
            "license": "088516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004866",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "920005159",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110081540A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.