BRENNA MARIE KEOGH MD
NPI 1639738099
Radiology - Diagnostic Radiology in Providence, RI

NPI Status: Active since June 10, 2019

Contact Information

593 EDDY ST
PROVIDENCE, RI
ZIP 02903
Phone: (401) 444-5174

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  • 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
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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)
12085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic 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 HOSPITAL593 EDDY STREET
PROVIDENCE, RI 02903
(401) 444-4000Acute Care Hospitals

Reviews for BRENNA MARIE KEOGH MD

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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.
1639738099
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266914316018
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 = 99

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
1235134495DR. CHANDAN LAKHIANI MD
Individual
Pediatrics593 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
1477551992DR. PETER J QUESENBERRY MD
Individual
Internal Medicine (Hematology & Oncology)593 EDDY ST
PROVIDENCE, RI 02903
(401) 444-4830
1235138843DR. 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 Practitioner593 EDDY ST APC 456
PROVIDENCE, RI 02903
(401) 444-5545
1093707655 KEITH B SUNDERLIN PAC
Individual
Physician Assistant593 EDDY ST APC 4
PROVIDENCE, RI 02903
(401) 444-4000
1073500757DR. MARK E. MATTINGLY M.D.
Individual
Internal Medicine593 EDDY ST
PROVIDENCE, RI 02903
(401) 444-3985
1306837323MS. JO-ANN BERGERON POLSKY BS, MPH, RD
Individual
Nutritionist593 EDDY ST RHODE ISLAND HOSPITAL POB 334
PROVIDENCE, RI 02903
(401) 444-4422
1215919782DR. SUZANNE E MCLAUGHLIN M.D.
Individual
Internal Medicine593 EDDY ST POB-224 MED/PEDS CLINIC
PROVIDENCE, RI 02903
(401) 444-6118
1619950581DR. JAY M. BARUCH M.D.
Individual
Emergency Medicine593 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
1750365797DR. 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 Therapist593 EDDY ST POTTER 3
PROVIDENCE, RI 02903
(401) 444-3534
1679559371DR. CELIA MARIA LESCANO PHD
Individual
Psychologist (Clinical)593 EDDY ST APC 970
PROVIDENCE, RI 02903
(401) 444-8539
1467438184DR. 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
1386620466DR. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.