DR. MICAH JUDD KEENO DO
NPI 1487146692
Pediatrics - Pediatric Emergency Medicine in Greenville, SC

Q: What is Micah Keeno's NPI number?

The NPI number for Micah Keeno is 1487146692. It was assigned to this individual provider in the NPPES registry on June 4, 2018.

Q: What is Micah Keeno's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Micah Keeno was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 June 04, 2018PECOS Enrolled

701 GROVE RD FL 1, GREENVILLE, SC 29605(864) 455-7899(864) 455-5474 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Micah Judd Keeno Do NPPES

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

DR. MICAH JUDD KEENO DO (NPI 1487146692) is an individual pediatric emergency medicine provider in Greenville, South Carolina, licensed in South Carolina (94688) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1487146692

Entity TypeIndividualMale

Primary Taxonomy2080P0204X

Provider Legal NameDR. MICAH JUDD KEENOCredential: DO

Location Address701 GROVE RD FL 1Greenville, SC 29605-4210

Mailing Address300 E Mcbee Ave Ste 300Greenville, SC 29601-2899 · (864) 522-8611

Phone(864) 455-7899

Fax(864) 455-5474

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 4, 2018

Last NPPES UpdateAugust 22, 2025

NPPES CertifiedAugust 22, 2025

✔ NPI 1487146692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in SC · 94688

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedPediatricsTaxonomy 208000000X · License 34.015270 (OH)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

701 GROVE RD FL 1, Greenville, SC 29605

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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)

Dr. Micah Judd Keeno Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082001409

PECOS Enrollment IDI20250801000788

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.

DR. AMBER GIST LANEY MD

Emergency Medicine