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

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: October 18, 2026.

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 maintains 3 additional practice locations.

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
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
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12142 N Cove BlvdToledo, OH 43606-3895 · Phone (801) 722-5223
Location 23000 New Bern AveRaleigh, NC 27610-1231 · Phone (919) 350-8000
Location 3500 University DrHershey, PA 17033-2360 · Phone (800) 243-1455

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Micah Judd Keeno 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.

Medicare Billing Reassignment

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

Prisma Health University Medical Group
0.1 mi
Nurse Practitioner
712 GROVE RD
Greenville, SC 29605
  • Reassigned Medicare billing, South Carolina enrollment
  • 3,281 clinicians in this Medicare group
NPI 1053786483 (864) 455-9349

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 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
701 GROVE RD FL 1
GREENVILLE, SC 29605
Greenville County (864) 455-7899
JASON COLLINS NP
Nurse Practitioner (Gerontology)
701 GROVE RD FL 1
GREENVILLE, SC 29605
Greenville County (864) 455-7000
JASMINE LYNN JOLLY MD
Emergency Medicine
701 GROVE RD FL 1
GREENVILLE, SC 29605
Greenville County (864) 455-7899
DR. BRENT ALEXANDER OLDHAM MD, MPH
Emergency Medicine
701 GROVE RD FL 1
GREENVILLE, SC 29605
Greenville County (864) 455-7899
JILLIAN ROSE KENT PA-C
Physician Assistant
701 GROVE RD FL 1
GREENVILLE, SC 29605
Greenville County (864) 455-7899
CALEB SCOTT MANASCO MD
Emergency Medicine
701 GROVE RD FL 1
GREENVILLE, SC 29605
Greenville County (864) 455-7899
DEVON TRAPNELL SOWA PA-C
Physician Assistant
701 GROVE RD FL 1
GREENVILLE, SC 29605
Greenville County (864) 455-7899
MATTHEW LEWIS MULLINS
Emergency Medicine
701 GROVE RD FL 1
GREENVILLE, SC 29605
Greenville County (864) 455-7899

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 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.

Where is Micah Keeno located?

Micah Keeno practices at 701 Grove Rd Fl 1, Greenville, SC 29605. The listed phone number is (864) 455-7899.

What is Micah Keeno's specialty?

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

Is Micah Keeno enrolled in Medicare?

Yes. Micah Keeno is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Micah Keeno's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Micah Keeno reassigns Medicare benefits to Prisma Health University Medical Group (Greenville, SC). 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 Micah Keeno'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 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 14 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.