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KEATHER ALIX KEHOE M.D.
NPI 1215946876
Psychiatry & Neurology - Child & Adolescent Psychiatry in Sacramento, CA

Active since August 05, 2006PECOS Enrolled
925 SECRET RIVER DR, SUITE E, SACRAMENTO, CA 95831(916) 429-4230(916) 429-4223 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 26, 2017 (3 updates tracked since 2017).

About Keather Alix Kehoe M.d. NPPES

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

KEATHER ALIX KEHOE M.D. (NPI 1215946876) is an individual child & adolescent psychiatry provider in Sacramento, California, licensed in California (A 070038) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Sacramento.

NPPES Registry Identity

NPI1215946876
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameKEATHER ALIX KEHOECredential: M.D.
Location Address925 SECRET RIVER DR, SUITE ESacramento, CA 95831-3465
Mailing Address4801 Laguna Blvd, Suite 105-pmb 364Elk Grove, CA 95758-7037 · (916) 429-4230 · Fax (916) 429-4223
Phone(916) 429-4230
Fax(916) 429-4223
Sole ProprietorNo
Enumeration DateAugust 5, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1215946876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · A 070038
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License A 070038 (CA)
925 SECRET RIVER DR, Sacramento, CA 95831
Open in Google Maps ↗

Secondary Practice Location 1

Location 12230 Stockton BlvdSacramento, CA 95817-1353 · Phone (916) 734-2972 · Fax (916) 734-3384

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keather Alix Kehoe M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Keather Kehoe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regents Of The Univ Of Ca
4.5 mi
Maternal & Fetal Medicine
4860 Y ST
Sacramento, CA 95817
  • Reassigned Medicare billing, California enrollment
  • 2,570 clinicians in this Medicare group
NPI 1013906973 (916) 734-6930

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

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

DR. LINDSAY M JOHNSON DDS
Dentist (General Practice)
925 SECRET RIVER DR, SUITE 2A
SACRAMENTO, CA 95831
Sacramento County (916) 905-0345
LORENZO M PADRON & ANGEL J PINTO DDS & CORPORATION
Dentist (General Practice)
925 SECRET RIVER DR
SACRAMENTO, CA 95831
Sacramento County (831) 207-5072
DR. CLIFTON EIJI NAKATANI DDS MSD
Dentist (Periodontics)
925 SECRET RIVER DR, SUITE J
SACRAMENTO, CA 95831
Sacramento County (916) 421-5555
DR. MARGARET BOBINSKI D.D.S.
Dentist (General Practice)
925 SECRET RIVER DR, SUITE A
SACRAMENTO, CA 95831
Sacramento County (916) 391-2888
DR. MICHAEL O'BRIEN DDS
Dentist (General Practice)
925 SECRET RIVER DR, SUITE C
SACRAMENTO, CA 95831
Sacramento County (916) 391-9200
DR. STEPHEN PATRICK SAFFOLD D.D.S.
Dentist (General Practice)
925 SECRET RIVER DR, SUITE A
SACRAMENTO, CA 95831
Sacramento County (916) 391-2888
SACRAMENTO WELLNESS CENTER
Dentist
925 SECRET RIVER DR, SUITE C
SACRAMENTO, CA 95831
Sacramento County (916) 391-8188
DR. HENNY L TOY O.D.
Optometrist
925 SECRET RIVER DR
SACRAMENTO, CA 95831
Sacramento County (916) 421-4111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keather Kehoe's NPI number?

The NPI number for Keather Kehoe is 1215946876. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Keather Kehoe located?

Keather Kehoe practices at 925 Secret River Dr Suite E, Sacramento, CA 95831. The listed phone number is (916) 429-4230.

What is Keather Kehoe's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Keather Kehoe enrolled in Medicare?

Yes. Keather Kehoe is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keather Kehoe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keather Kehoe reassigns Medicare benefits to Regents Of The Univ Of Ca (Sacramento, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keather Kehoe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Keather Kehoe was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.