Individual provider Active NPI

Daniel J Keane, DPM

  • Foot Surgery Podiatrist
  • Coopers Mills, ME
National Provider Identifier
1982608410
Registry record updated Aug 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
36002572 Issued in OH
Practice address
47 Main St
Coopers Mills, ME 04341-3758
Phone
(207) 549-7581
Fax
(937) 847-8635
NPI assigned
Jun 13, 2005
Last updated
Aug 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 36002572 OH Primary

Addresses

Primary practice location

47 Main St
Coopers Mills, ME 04341-3758

Mailing address

PO Box 727
Waterville, ME 04901-3758
Phone (207) 495-3323

Other identifiers 2

IdentifierTypeStateIssuer
4237161OtherOHMEDICARE PTAN
0757604MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230905001677 ME Practitioner - Podiatry 8022180066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

24 Gardiner St
Richmond, ME 04357-1336
Phone (207) 737-4359

4 Clement Way
Belgrade, ME 04917-4370
Phone (207) 660-9924

47 Main St
Cooper Mills, ME 04341
Phone (207) 549-7581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36002572OHMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthreach Community Health Centers CurrentSince Sep 4, 2023 Accepting new patients
Healthreach Community Health Centers CurrentSince Sep 4, 2023 Accepting new patients
Healthreach Community Health Centers Past Accepting new patients
Healthreach Community Health Centers PastSince Sep 5, 2023 Accepting new patients
Healthreach Community Health Centers Past Accepting new patients

Locations

7 School St
#1
Albion, ME 04910
Phone (207) 437-9388

4 Clement Way
Belgrade, ME 04917
Phone (207) 660-9924

24 Gardiner St
Richmond, ME 04357
Phone (207) 727-4359

Organizations & group practices 5

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693094400000",
    "number": "1982608410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049013758",
            "telephone_number": "207-495-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 MAIN ST",
            "city": "COOPERS MILLS",
            "state": "ME",
            "postal_code": "043413758",
            "telephone_number": "207-549-7581",
            "fax_number": "937-847-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEANE",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2023-08-27",
        "certification_date": "2023-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "OH",
            "license": "36002572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "4237161",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0757604",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coopers Mills, ME

Sources for this page

Verify at the official NPI Registry.