BRENNA MARIE KEOGH MD
NPI 1639738099
Radiology - Diagnostic Radiology in Providence, RI
NPI Status: Active since June 10, 2019
- Individual
- Female
- Years of Experience 7
- Radiology
- Diagnostic Radiology
- Accepts Medicare Approved Payment
About BRENNA KEOGH
This page provides the complete NPI Profile along with additional information for Brenna Keogh, a provider established in Providence, Rhode Island with a medical specialization in Radiology, focusing in diagnostic radiology and more than 7 years of experience. She graduated from Tufts University School Of Medicine in 2019. The healthcare provider is registered in the NPI registry with number 1639738099 assigned on June 2019. The practitioner's primary taxonomy code is 2085R0202X with license number MD20031 (RI). The provider is registered as an individual and her NPI record was last updated January 2025.
- NPI
- 1639738099
- Provider Name
- BRENNA MARIE KEOGH MD
- Other Name
- BRENNA MARIE KELLEY
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 593 EDDY ST PROVIDENCE, RI 02903
- Location Phone
- (401) 444-5174
- Mailing Address
- 125 METRO CENTER BLVD STE 2000 WARWICK, RI 02886
- Mailing Phone
- (401) 432-2500
- Mailing Fax
- Medical School Name
- TUFTS UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 2019
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-10-2019
- Last Update Date
- 01-28-2025
- Code Navigator
Location Map
Secondary Locations
- 211 Park St
Attleboro, MA 02703
(508) 222-5200
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD20031
- License State
- RI
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | 1022485 (MA) |
Medicare Participation & PECOS Enrollment Status
Brenna Keogh is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 8921544057
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240724003460
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Brenna Keogh is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
RHODE ISLAND HOSPITAL | 593 EDDY STREET PROVIDENCE, RI 02903 | (401) 444-4000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 3 | 9 | 7 | 3 | 8 | 0 | 9 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 6 | 9 | 14 | 3 | 16 | 0 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 6 + 9 + 1 + 4 + 3 + 1 + 6 + 0 + 1 + 8 + 24 = 71 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 71 = 9 | 9 |
The NPI number 1639738099 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1235134495 | DR. CHANDAN LAKHIANI MD Individual | Pediatrics | 593 EDDY ST HASBRO LL PROVIDENCE, RI 02903 (401) 444-4691 |
1215933908 | RACHEL ALLISON ALTURA MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 593 EDDY ST HASBRO LL PROVIDENCE, RI 02903 (401) 444-5241 |
1255338240 | MOHAMMED FAIZAN M.D. Individual | Pediatrics (Pediatric Nephrology) | 593 EDDY ST HASBRO 122 PROVIDENCE, RI 02903 (401) 444-6195 |
1477551992 | DR. PETER J QUESENBERRY MD Individual | Internal Medicine (Hematology & Oncology) | 593 EDDY ST PROVIDENCE, RI 02903 (401) 444-4830 |
1235138843 | DR. SUSAN L. PLANTE PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 593 EDDY ST PHARMACY SERVICES PROVIDENCE, RI 02903 (401) 444-9075 |
1275533077 | ZHANHONG MI CNP Individual | Nurse Practitioner | 593 EDDY ST APC 456 PROVIDENCE, RI 02903 (401) 444-5545 |
1093707655 | KEITH B SUNDERLIN PAC Individual | Physician Assistant | 593 EDDY ST APC 4 PROVIDENCE, RI 02903 (401) 444-4000 |
1073500757 | DR. MARK E. MATTINGLY M.D. Individual | Internal Medicine | 593 EDDY ST PROVIDENCE, RI 02903 (401) 444-3985 |
1306837323 | MS. JO-ANN BERGERON POLSKY BS, MPH, RD Individual | Nutritionist | 593 EDDY ST RHODE ISLAND HOSPITAL POB 334 PROVIDENCE, RI 02903 (401) 444-4422 |
1215919782 | DR. SUZANNE E MCLAUGHLIN M.D. Individual | Internal Medicine | 593 EDDY ST POB-224 MED/PEDS CLINIC PROVIDENCE, RI 02903 (401) 444-6118 |
1619950581 | DR. JAY M. BARUCH M.D. Individual | Emergency Medicine | 593 EDDY ST PROVIDENCE, RI 02903 (401) 519-1604 |
1083698575 | ALI KAZIM M.D. Individual | Psychiatry & Neurology (Forensic Psychiatry) | 593 EDDY ST RHODE ISLAND HOSPITAL PROVIDENCE, RI 02903 (404) 444-4779 |
1750365797 | DR. KRISTIN LEE BRUNING MD Individual | Psychiatry & Neurology (Psychiatry) | 593 EDDY ST APC 970 PROVIDENCE, RI 02903 (401) 444-4515 |
1013991926 | HUMERA KHURSHID MD Individual | Internal Medicine (Hematology & Oncology) | 593 EDDY ST APC MAIN PROVIDENCE, RI 02903 (401) 444-5435 |
1407830334 | THOMAS ALLEN ROESLER MD Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 593 EDDY ST PHYSICIAN'S OFFICE BLDG., # 122 PROVIDENCE, RI 02903 (401) 444-4515 |
1699750067 | RICHARD C ARCHAMBAULT EDD Individual | Marriage & Family Therapist | 593 EDDY ST POTTER 3 PROVIDENCE, RI 02903 (401) 444-3534 |
1679559371 | DR. CELIA MARIA LESCANO PHD Individual | Psychologist (Clinical) | 593 EDDY ST APC 970 PROVIDENCE, RI 02903 (401) 444-8539 |
1467438184 | DR. ROBYN S MEHLENBECK PHD Individual | Psychologist (Clinical Child & Adolescent) | 593 EDDY ST APC 970 PROVIDENCE, RI 02903 (401) 444-8638 |
1881679512 | RENDUELES VILLALBA II MD Individual | Psychiatry & Neurology (Psychiatry) | 593 EDDY ST POTTER 2 PROVIDENCE, RI 02903 (401) 444-2128 |
1386620466 | DR. HENRY R LESIEUR PSYD, PHD Individual | Psychologist (Addiction (Substance Use Disorder)) | 593 EDDY ST APC 970 PROVIDENCE, RI 02903 (401) 277-0700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639738099, enumerated in the NPI registry as an "individual" on June 10, 2019
The provider is located at 593 Eddy St Providence, Ri 02903 and the phone number is (401) 444-5174
The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
The provider has more than 7 years of experience. She graduated from Tufts University School Of Medicine in 2019.
The practitioner is affiliated to the following hospital(s): RHODE ISLAND HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on June 10, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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