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RICHARD KILLEEN
NPI 1356962955
General Practice in Chattanooga, TN

Active since May 05, 2020PECOS Enrolled
3931 INLET LOOP, CHATTANOOGA, TN 37416(502) 644-0769 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 19, 2023, May 5, 2020 (2 updates tracked since 2020).

About Richard Killeen NPPES

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

RICHARD KILLEEN (NPI 1356962955) is an individual general practice provider in Chattanooga, Tennessee, licensed in Tennessee (69106) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356962955
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameRICHARD KILLEEN
Location Address3931 INLET LOOPChattanooga, TN 37416-3087
Mailing Address3931 Inlet LoopChattanooga, TN 37416-3087 · (502) 644-0769
Phone(502) 644-0769
Sole ProprietorYes
Enumeration DateMay 5, 2020
Last NPPES UpdateSeptember 26, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2023
✔ NPI 1356962955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in TN · 69106
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3931 INLET LOOP, Chattanooga, TN 37416
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard Killeen 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.

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 Richard Killeen's NPI number?

The NPI number for Richard Killeen is 1356962955. It was assigned to this individual provider in the NPPES registry on May 5, 2020.

Where is Richard Killeen located?

Richard Killeen practices at 3931 Inlet Loop, Chattanooga, TN 37416. The listed phone number is (502) 644-0769.

What is Richard Killeen's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Richard Killeen enrolled in Medicare?

Yes. Richard Killeen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Richard Killeen was last updated on September 26, 2023. 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.