EILEEN KEHOE (M.D.) – Nephrology Physician, NPI 1790990943

EILEEN KEHOE (M.D.) is a healthcare provider. based in Meriden, Connecticut. specializing in Nephrology Physician. They hold the professional credentials M.D.. They hold a License No. 48033 (CT). The NPI Number for EILEEN KEHOE (M.D.) is 1790990943

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
EILEEN KEHOE (M.D.)
NPI
1790990943
Phone
(203) 237-6700
Address
455 LEWIS AVE. STE 214
Enumeration Date
11 May 2007
Last Update Date
31 January 2011

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8608728563
Graduation Year
2009 (17 years ago)
PAC ID
4587704366
Group Practice PAC ID
9931205457
Professional Enrollment ID
I20091230000086
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for EILEEN KEHOE (M.D.)

  • 455 LEWIS AVE. STE 214

    CONNECTICUT NEPHROLOGY ASSOCIATES, LLC

    MERIDEN, CT 064512121

    Phone: (203) 237-6700

    Fax: (203) 237-6100

    Type: Mailing

  • 455, Lewis Avenue, Meriden, South Central Connecticut Planning Region, Connecticut, 06451, United States

    STE 214

    MERIDEN, CT 064512121

    Phone: (203) 237-6700

    Fax: (203) 237-6100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-12-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091230000086INephrologyCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06451)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931205457View full group profile

Reviews

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Frequently asked questions

Can I cross-check EILEEN KEHOE (M.D.) using NPI 1790990943?
NPI 1790990943 belongs to EILEEN KEHOE (M.D.); compare other details if you need extra assurance.
Is EILEEN KEHOE (M.D.) shown as active in public data?
Registry records indicate EILEEN KEHOE (M.D.) maintains an active NPI.
What kind of doctor is EILEEN KEHOE (M.D.)?
EILEEN KEHOE (M.D.) is associated with Nephrology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for EILEEN KEHOE (M.D.)?
Travel planning: use Meriden, Connecticut as the reference point for EILEEN KEHOE (M.D.), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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