DR. BRIAN WILLIAM KEENAN (M.D.) – Pediatrics Physician, NPI 1063699163

DR. BRIAN WILLIAM KEENAN (M.D.) is a healthcare provider. based in Cape girardeau, Missouri. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 2007024787 (MO). The NPI Number for DR. BRIAN WILLIAM KEENAN (M.D.) is 1063699163

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN WILLIAM KEENAN (M.D.)
NPI
1063699163
Phone
(573) 331-6549
Address
1701 LACEY ST
Enumeration Date
30 January 2008
Last Update Date
31 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6607851000
Graduation Year
2013 (13 years ago)
PAC ID
0446425839
Group Practice PAC ID
1254757446
Professional Enrollment ID
I20141029000299
Address ID
MO635016401KI315XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness75
Years active:18State licenses:4Digital endpointsOther names

1,351 EMERGENCY MEDICINE in MO

Loading map...

Provider Addresses for DR. BRIAN WILLIAM KEENAN (M.D.)

  • Southeast Hospital, 1701, Lacey Street, Cape Girardeau, Cape Girardeau County, Missouri, 63701, United States

    EMERGENCY DEPARTMENT

    CAPE GIRARDEAU, MO 637015230

    Phone: (573) 331-6549

    Fax: (573) 651-5848

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2014-10-29

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
I20141029000299IEmergency MedicineMOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making217209$0
99284Emergency department visit with moderate level of medical decision making7876$0
99283Emergency department visit with low level of medical decision making4545$0
View full utilization report →

Insurance plans in this area (ZIP 63701)

Loading plans...

Provider's Procedures

DR. BRIAN WILLIAM KEENAN (M.D.) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEMO93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report3231

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: 1254757446View full group profile
NameSpecialtyState
Emergency MedicineMO
Emergency MedicineMO
Emergency MedicineMO
Emergency MedicineNC
Emergency MedicineIA
Family PracticeMO
Emergency MedicineMO
Emergency MedicineMO
Emergency MedicineMO
Family Practice, Emergency MedicineKS

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to DR. BRIAN WILLIAM KEENAN (M.D.)?
NPI 1063699163 is assigned to DR. BRIAN WILLIAM KEENAN (M.D.) under the national enumeration system.
Is DR. BRIAN WILLIAM KEENAN (M.D.) active in the national directory?
DR. BRIAN WILLIAM KEENAN (M.D.)'s public NPI profile is in an active state.
What kind of provider is DR. BRIAN WILLIAM KEENAN (M.D.)?
The page reflects Pediatrics Physician for DR. BRIAN WILLIAM KEENAN (M.D.). Clinical services aligned with this taxonomy classification.
Does DR. BRIAN WILLIAM KEENAN (M.D.) practice in Missouri?
You will see Cape Girardeau, Missouri on file for DR. BRIAN WILLIAM KEENAN (M.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

DR. KARIN L BARNES (M.D.)

Pediatrics Physician
Saint Francis Medical Center, 211, Saint Francis Drive, Cape Girardeau, Cape Girardeau County, Missouri, 63703, United States of America
NPI: 1386647055
Saint Francis Medical Center, 211, Saint Francis Drive, Cape Girardeau, Cape Girardeau County, Missouri, 63703, United States
NPI: 1023019015

JOY L. JOHNSON (M.D.)

Internal Medicine Physician
1702, North Kingshighway, Cape Girardeau, Cape Girardeau County, Missouri, 63701, United States
NPI: 1184616120

DR. SHAUN A ROSS (MD)

Pediatrics Physician
Saint Francis Medical Center, 211, Saint Francis Drive, Cape Girardeau, Cape Girardeau County, Missouri, 63703, United States
NPI: 1740268333

DR. DAVID A. LAWRENCE (M.D.)

Pediatrics Physician
Saint Francis Medical Center, 211, Saint Francis Drive, Cape Girardeau, Cape Girardeau County, Missouri, 63703, United States
NPI: 1912985318

DR. JOHN J RUSSELL (M.D.)

Pediatrics Physician
1610 N KINGS HIGHWAY ST
NPI: 1124098728

DR. DEVIKA RANI NAGARAJ (MD)

Internal Medicine Physician
615 S NEW BALLAS RD
NPI: 1881644714

KARLYLE K CHRISTIAN-RITTER (M.D.)

Neonatal-Perinatal Medicine Physician
PO BOX 801143
NPI: 1154371722

JOHN BAUER (MD)

Internal Medicine Physician
150 S MOUNT AUBURN RD STE 418
NPI: 1164474763