ALEX S KEUROGHLIAN (MD) – Psychiatry Physician, NPI 1144541400
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,743 PSYCHIATRY in MA
Provider Addresses for ALEX S KEUROGHLIAN (MD)
55 Fruit St.
Massachusetts General Hospital
Boston, MA 02114
Phone: (617) 726-2000
Type: Location
20 Portland St
Portland, ME 041012912
Phone: (207) 661-4701
Fax: (207) 899-4969
Type: Location
25 June St
Sanford, ME 040732621
Phone: (207) 490-7450
Fax: (207) 490-7452
Type: Location
1 Medical Center Dr
Biddeford, ME 040059422
Phone: (207) 294-5000
Fax: (207) 294-5227
Type: Location
22 Bramhall St
Portland, ME 041023134
Phone: (207) 662-0111
Type: Location
216 VAUGHAN ST
PORTLAND, ME 041023204
Phone: (207) 662-2221
Fax: (207) 810-2367
Type: Mailing
55 FRUIT ST.
MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Phone: (617) 726-2000
Type: Mailing
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: 2025-07-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131119000547 | I | Psychiatry | MA | TBD |
| I20250729001633 | I | Psychiatry | ME | TBD |
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.
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 02114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MA | |
| Clinical Social Worker | MA | |
| Clinical Social Worker | MA | |
| Addiction Medicine | MA | |
| - | NY | |
| Physician Assistant | MA | |
| O P T O M E T R Y | LA | |
| Clinical Social Worker | IL | |
| Family Practice | MA | |
| Nurse Practitioner | MA |
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