KATHRYN CONWAY KEENAN MD
NPI 1811493067
Pediatrics - Pediatric Emergency Medicine in Syracuse, NY

Q: What is Kathryn Keenan's NPI number?

The NPI number for Kathryn Keenan is 1811493067. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Q: What is Kathryn Keenan'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 Kathryn Keenan was last updated on May 20, 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.

Active since April 04, 2018PECOS Enrolled

750 EAST ADAMS ST, SYRACUSE, NY 13210(315) 464-4363(315) 464-8690 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Kathryn Conway Keenan Md NPPES

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

KATHRYN CONWAY KEENAN MD (NPI 1811493067) is an individual pediatric emergency medicine provider in Syracuse, New York, licensed in New York (309790) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811493067

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameKATHRYN CONWAY KEENANCredential: MD

Location Address750 EAST ADAMS STSyracuse, NY 13210

Mailing Address750 East Adams StSyracuse, NY 13210 · (315) 464-4363 · Fax (315) 464-8690

Phone(315) 464-4363

Fax(315) 464-8690

Sole ProprietorNo

Enumeration DateApril 4, 2018

Last NPPES UpdateMay 20, 2024

✔ NPI 1811493067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in NY · 309790

Definition

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

Also ListedPediatricsTaxonomy 208000000X · License 309790 (NY)

750 EAST ADAMS ST, Syracuse, NY 13210

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Conway Keenan 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.

Medicare Billing Reassignment

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

Upstate Emergency Medicine, Inc

0.1 mi

Emergency Medicine

750 E. ADAMS ST.
Syracuse, NY 13210

Reassigned Medicare billing, New York enrollment
170 clinicians in this Medicare group

NPI 1275589582 (315) 464-4363

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.

NICHOLAS ZACCOR MD,PHD

Otolaryngology