PATRICK KEEHAN DO PA
NPI 1811533805
Dermatology in Fort Worth, TX

Active since November 25, 2019
4625 SAINT AMAND CIR, FORT WORTH, TX 76126(817) 769-3603(817) 348-0113 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 26, 2025, Dec 29, 2022, Jun 12, 2020 and 2 more (5 updates tracked since 2019).

About Patrick Keehan Do Pa NPPES

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

PATRICK KEEHAN DO PA (NPI 1811533805) is a healthcare organization registered as a dermatology in Fort Worth, Texas and active in the NPI registry since November 2019. The organization lists Patrick Keehan, Dermatologist, as its authorized official.

NPPES Registry Identity

NPI1811533805
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePATRICK KEEHAN DO PA
Location Address4625 SAINT AMAND CIRFort Worth, TX 76126-1908
Mailing Address6387 Camp Bowie Blvd Ste B, #340Fort Worth, TX 76116-5486 · (817) 769-3603 · Fax (817) 348-0113
Fax(817) 348-0113
Organization SubpartNo
Authorized OfficialPatrick KeehanDermatologist · (415) 802-1310
Enumeration DateNovember 25, 2019
Last NPPES UpdateMarch 26, 20255 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ NPI 1811533805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
4625 SAINT AMAND CIR, Fort Worth, TX 76126

Other Identifiers 1

Medicaid1366773889TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patrick Keehan Do Pa 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 Patrick Keehan Do PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1366773889
4625 SAINT AMAND CIR
Fort Worth, TX 76126
(817) 769-3603
✔ PECOS✔ Accepts MedicareSame address

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 Patrick Keehan Do PA's NPI number?

The NPI number for Patrick Keehan Do PA is 1811533805. It was assigned to this organization in the NPPES registry on November 25, 2019.

Where is Patrick Keehan Do PA located?

Patrick Keehan Do PA is located at 4625 Saint Amand Cir, Fort Worth, TX 76126. The listed phone number is (817) 769-3603.

What is Patrick Keehan Do PA's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Patrick Keehan Do PA enrolled in Medicare?

Yes. Patrick Keehan Do PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Patrick Keehan Do PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Patrick Keehan Do PA. 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 Patrick Keehan Do PA was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.