TAYLOR KEATING – Emergency Medicine Physician, NPI 1104490259

TAYLOR KEATING is a healthcare provider. based in Jenks, Oklahoma. specializing in EMERGENCY MEDICINE. They hold a License No. 8062 (OK). The NPI Number for TAYLOR KEATING is 1104490259

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR KEATING
NPI
1104490259
Phone
(580) 304-3097
Address
11013 S LAWRENCE ST
Enumeration Date
13 May 2021
Last Update Date
13 November 2024

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9186231424
Graduation Year
2022 (4 years ago)
PAC ID
4082062567
Group Practice PAC ID
5698786226
Professional Enrollment ID
I20231121003084
Address ID
OK748594642OK1800XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

747 EMERGENCY MEDICINE in OK

Provider Addresses for TAYLOR KEATING

  • 11013 S LAWRENCE ST

    JENKS, OK 740371804

    Phone: (580) 304-3097

    Type: Mailing

  • 744 W 9TH ST

    TULSA, OK 741279907

    Phone: (918) 599-1000

    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: 2023-11-22

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231121003084IEmergency MedicineTXTBD
I20231122000016IEmergency MedicineOKTBD

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 74037)

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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: 5698786226View full group profile

Reviews

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Frequently asked questions

How is TAYLOR KEATING identified in CMS data?
CMS-hosted NPPES data lists TAYLOR KEATING with NPI 1104490259.
Does the file indicate TAYLOR KEATING is practicing under active NPI?
Directory data currently reports TAYLOR KEATING as active.
What healthcare role does TAYLOR KEATING hold?
Scheduling teams often label TAYLOR KEATING under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is TAYLOR KEATING based?
TAYLOR KEATING is tied to Jenks, Oklahoma in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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