TIMOTHY RYAN KEEGAN DO
NPI 1184129447
Student in an Organized Health Care Education/Training Program in Chapel Hill, NC

Q: What is Timothy Keegan's NPI number?

The NPI number for Timothy Keegan is 1184129447. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Q: What is Timothy Keegan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Keegan was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 28, 2018PECOS Enrolled

101 MANNING DR RM 1017, CHAPEL HILL, NC 27514(984) 974-1072 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2024, Jun 12, 2021, Mar 28, 2018 (3 updates tracked since 2018).

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About Timothy Ryan Keegan Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY RYAN KEEGAN DO (NPI 1184129447) is an individual student in an organized health care education/training program in Chapel Hill, North Carolina, licensed in North Carolina (2023-02945) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1184129447

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameTIMOTHY RYAN KEEGANCredential: DO

Location Address101 MANNING DR RM 1017Chapel Hill, NC 27514-4226

Mailing Address5513 Virgin Rock RdCentreville, VA 20120-3311 · (703) 967-9924

Phone(984) 974-1072

Sole ProprietorNo

Enumeration DateMarch 28, 2018

Last NPPES UpdateApril 3, 20243 updates tracked since enumeration

NPPES CertifiedApril 3, 2024

✔ NPI 1184129447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Licenses✔ Licensed in NC · 2023-02945✔ Licensed in TX · 678694

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

101 MANNING DR RM 1017, Chapel Hill, NC 27514

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Secondary Practice Location 1

Location 11 Baylor Plz # Bcm320Houston, TX 77030-3411 · Phone (800) 663-9664

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Ryan Keegan Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICK PANUWUD LAOPRASERT MD

Student in an Organized Health Care Education/Training Program