KEEGAN JOHN NICODEMUS MD
NPI 1972063824
Emergency Medicine in Birmingham, AL

Q: What is Keegan Nicodemus's NPI number?

The NPI number for Keegan Nicodemus is 1972063824. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Q: What is Keegan Nicodemus's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Keegan Nicodemus was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment

1802 6TH AVE S, BIRMINGHAM, AL 35233(205) 934-4011 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 15, 2026, Sep 17, 2025, Apr 1, 2021 (3 updates tracked since 2021).

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About Keegan John Nicodemus Md NPPES

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

KEEGAN JOHN NICODEMUS MD (NPI 1972063824) is an individual emergency medicine provider in Birmingham, Alabama, licensed in Alabama (MD.41880) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Medical College Of Georgia School Of Medicine (2019).

NPPES Registry Identity

NPI1972063824

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameKEEGAN JOHN NICODEMUSCredential: MD

Location Address1802 6TH AVE SBirmingham, AL 35233-1932

Mailing AddressPo Box 55310Birmingham, AL 35255-5310

Phone(205) 934-4011

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2019

Enumeration DateMarch 25, 2019

Last NPPES UpdateJanuary 15, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2026

✔ NPI 1972063824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in AL · MD.41880

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1802 6TH AVE S, Birmingham, AL 35233

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Secondary Practice Location 1

Location 1625 19th St SBirmingham, AL 35233-1900 · Phone (205) 975-7387

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Keegan John Nicodemus Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860733136

PECOS Enrollment IDI20210604002573

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

200 services197 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

123 services106 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

59 services56 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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. ALBERT F. LOBUGLIO M.D.

Internal Medicine (Hematology & Oncology)

1802 6TH AVE S, NP 2556
BIRMINGHAM, AL 35233

Jefferson County (205) 934-5077

KATHRYN ELISE CHAPPELL MAHAFFEY PA-C

Physician Assistant