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MAMADI KEITA MD
NPI 1740727940
Student in an Organized Health Care Education/Training Program in Farmington, CT

Active since January 25, 2017PECOS Enrolled
263 FARMINGTON AVE, FARMINGTON, CT 06030(860) 679-2000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 20, 2017 and 2 more (5 updates tracked since 2017).

About Mamadi Keita Md NPPES

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

MAMADI KEITA MD (NPI 1740727940) is an individual student in an organized health care education/training program in Farmington, Connecticut and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1740727940
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMAMADI KEITACredential: MD
Location Address263 FARMINGTON AVEFarmington, CT 06030-3765
Mailing Address263 Farmington AveFarmington, CT 06030-1916 · (860) 679-2147
Phone(860) 679-2000
Sole ProprietorNo
Enumeration DateJanuary 25, 2017
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
✔ NPI 1740727940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 125069718 (IL)
263 FARMINGTON AVE, Farmington, CT 06030
Open in Google Maps ↗

Secondary Practice Location 1

Location 11969 W Ogden AveChicago, IL 60612-3765 · Phone (312) 864-6000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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)

Mamadi Keita 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.

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.

STATE OF CONNECTICUT HEALTH CENTER
Pathology (Anatomic Pathology & Clinical Pathology)
263 FARMINGTON AVE, LABORATORY HBP GROUP
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-7503
MR. IAN THOMAS MCNEILL
Neurological Surgery
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-8080
DR. LUIS CHAVEZ DE PAZ DDS, MS, PHD
Dentist (Endodontics)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2719
TARUNYA REDDY VEDERE
Internal Medicine (Endocrinology, Diabetes & Metabolism)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3245
ZACHARY TALLENT SOLOMON
Surgery
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3467
MICHAEL CONNOLLY
Psychiatry & Neurology (Psychiatry)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4733
EMILY WENG DO
Internal Medicine (Gastroenterology)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3158
ANDREW KEMERLEY DO
Student in an Organized Health Care Education/Training Program
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3467

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 Mamadi Keita's NPI number?

The NPI number for Mamadi Keita is 1740727940. It was assigned to this individual provider in the NPPES registry on January 25, 2017.

Where is Mamadi Keita located?

Mamadi Keita practices at 263 Farmington Ave, Farmington, CT 06030. The listed phone number is (860) 679-2000.

What is Mamadi Keita's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mamadi Keita enrolled in Medicare?

Yes. Mamadi Keita is registered in the Medicare PECOS enrollment system.

What insurance does Mamadi Keita accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Mamadi Keita 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 Mamadi Keita was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.