KEAGLE MEDICAL, INC.
NPI 1770720641
Surgery - Plastic and Reconstructive Surgery in Los Angeles, CA
About Keagle Medical, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEAGLE MEDICAL, INC. (NPI 1770720641) is a healthcare organization registered as a plastic and reconstructive surgery in Los Angeles, California and active in the NPI registry since January 2009. The organization lists Jennifer Newman Keagle, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keagle Medical, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Keagle Medical, Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Keagle Medical, Inc.'s NPI number?
The NPI number for Keagle Medical, Inc. is 1770720641. It was assigned to this organization in the NPPES registry on January 14, 2009.
Where is Keagle Medical, Inc. located?
Keagle Medical, Inc. is located at 2614 Arthur St Ste C, Los Angeles, CA 90065. The listed phone number is (213) 250-1300.
What is Keagle Medical, Inc.'s specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Keagle Medical, Inc. enrolled in Medicare?
Yes. Keagle Medical, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Keagle Medical, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Keagle Medical, Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Keagle Medical, Inc. was last updated on September 27, 2024. 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.
# Keagle Medical, Inc. · NPI 1770720641
Plastic and Reconstructive Surgery organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since January 14, 2009.
## Identity
- **NPI:** 1770720641 (Entity type: Organization)
- **Enumerated:** January 14, 2009
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **Organization subpart:** No
- **Authorized official:** Jennifer Keagle, PRESIDENT
## Practice location
- **Address:** 2614 ARTHUR ST STE C, Los Angeles, CA 90065-3990
- **Phone:** (213) 250-1300 · **Fax:** (213) 559-9473
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Plastic and Reconstructive Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1770720641) · Data from the CMS NPPES public registry.