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ELYSE MARIE KEANE MD
NPI 1255824702
Pediatrics in Charleston, SC

Active since June 10, 2018PECOS Enrolled
165 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-8792 Get Directions Write a Review

NPPES record last updated: June 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elyse Marie Keane Md NPPES

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

ELYSE MARIE KEANE MD (NPI 1255824702) is an individual pediatrics provider in Charleston, South Carolina, licensed in South Carolina (LL52508) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255824702
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameELYSE MARIE KEANECredential: MD
Location Address165 ASHLEY AVECharleston, SC 29425-8905
Mailing Address5 Jerry DrCharleston, SC 29407-6734 · (443) 840-0262
Phone(843) 792-8792
Sole ProprietorNo
Enumeration DateJune 10, 2018
✔ NPI 1255824702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SC · LL52508
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
165 ASHLEY AVE, Charleston, SC 29425
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elyse Marie Keane Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. AMY BILBO MS, RD, LD, CNSC
Dietitian, Registered
165 ASHLEY AVE, MSC 905
CHARLESTON, SC 29425
Charleston County (843) 876-7271
MRS. CECILIA KENNEDY MCMILLAN RD
Dietitian, Registered (Nutrition, Pediatric)
165 ASHLEY AVE, SUITE EH1108
CHARLESTON, SC 29425
Charleston County (843) 792-9774
TYRA CHAY BRADBURY RD
Dietitian, Registered (Nutrition, Pediatric)
165 ASHLEY AVE, MSC 905
CHARLESTON, SC 29425
Charleston County (843) 792-3880
MRS. KRISTIN BLANCH CRADY RD, CNSD
Dietitian, Registered
165 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-8933
MRS. KRISTI LYNN FOGG MS, RD, LD
Dietitian, Registered
165 ASHLEY AVE, SUITE EH110
CHARLESTON, SC 29425
Charleston County (843) 792-8933
MS. CAROLYN WEIGLEIN FINCH RD
Dietitian, Registered (Nutrition, Pediatric)
165 ASHLEY AVE, SUITE EH 1108
CHARLESTON, SC 29425
Charleston County (843) 792-8933
MS. NICOLE RIEBE PORRO M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
165 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 876-7080
MRS. AMBER NICOLE MONROE MSN, APRN, NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
165 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1272

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 Elyse Keane's NPI number?

The NPI number for Elyse Keane is 1255824702. It was assigned to this individual provider in the NPPES registry on June 10, 2018.

Where is Elyse Keane located?

Elyse Keane practices at 165 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-8792.

What is Elyse Keane's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Elyse Keane enrolled in Medicare?

Yes. Elyse Keane is registered in the Medicare PECOS enrollment system.

What insurance does Elyse Keane accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Elyse Keane as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elyse Keane was last updated on June 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.