KEATON CAMERON-BURR (MD) – Emergency Medicine Physician, NPI 1194399477

KEATON CAMERON-BURR (MD) is a healthcare provider. based in Providence, Rhode Island. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD29401 (ME). The NPI Number for KEATON CAMERON-BURR (MD) is 1194399477

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
KEATON CAMERON-BURR (MD)
NPI
1194399477
Phone
Not provided
Address
593 EDDY ST
Enumeration Date
19 May 2021
Last Update Date
3 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
2077955646
Graduation Year
2021 (5 years ago)
PAC ID
6507265758
Group Practice PAC ID
3375774227
Professional Enrollment ID
I20250905003682
Address ID
ME042407027LE300XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

438 EMERGENCY MEDICINE in RI

Provider Addresses for KEATON CAMERON-BURR (MD)

  • 593 EDDY ST

    PROVIDENCE, RI 029034923

    Phone:

    Mailing address matches the actual address.

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: 2025-09-05

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
I20250905003682IEmergency MedicineMETBD

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 02903)

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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: 3375774227View full group profile
NameSpecialtyState
Physician AssistantNH
Emergency MedicineNH
-MA
Nurse PractitionerCT
Emergency MedicineMD
Emergency MedicineNH
Emergency MedicineMA
Emergency MedicineCT
Emergency MedicineME
Emergency MedicineME

Reviews

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Frequently asked questions

Can I cross-check KEATON CAMERON-BURR (MD) using NPI 1194399477?
NPI 1194399477 belongs to KEATON CAMERON-BURR (MD); compare other details if you need extra assurance.
Is KEATON CAMERON-BURR (MD) still an active registrant?
KEATON CAMERON-BURR (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for KEATON CAMERON-BURR (MD)?
At a glance, KEATON CAMERON-BURR (MD) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with KEATON CAMERON-BURR (MD)?
Directory geography for KEATON CAMERON-BURR (MD) centers on Providence, Rhode Island.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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