DR. JARED KEALY (MD) – Family Medicine Physician, NPI 1003430208

DR. JARED KEALY (MD) is a healthcare provider. based in Georgetown, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 125.076883 (IL). The NPI Number for DR. JARED KEALY (MD) is 1003430208

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. JARED KEALY (MD)
NPI
1003430208
Phone
(877) 800-5722
Address
2423 WILLIAMS DR STE 107
Enumeration Date
3 June 2020
Last Update Date
1 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5125249249
Graduation Year
2020 (6 years ago)
PAC ID
7012351422
Group Practice PAC ID
5193709392
Professional Enrollment ID
I20240213004496
Address ID
TX787047002AU1221XBLVD501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:6State licenses:2Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for DR. JARED KEALY (MD)

  • 2423 WILLIAMS DR STE 107

    GEORGETOWN, TX 786283269

    Phone: (877) 800-5722

    Type: Mailing

  • 6937 N INTERSTATE 35 STE 2

    AUSTIN, TX 787523295

    Phone: (877) 800-5722

    Type: Location

  • 1044 N FRANCISCO AVE

    CHICAGO, IL 606222743

    Phone: (773) 292-8200

    Type: Mailing

  • 1044 N Francisco Ave

    Chicago, IL 606222743

    Phone: (773) 292-8200

    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: 2024-02-13

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
I20240213004496IFamily PracticeTXTBD

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 78628)

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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: 5193709392View full group profile
NameSpecialtyState
Internal Medicine, Pediatric MedicineTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
P S Y C H I A T R YTX
Family PracticeTX
-TX
-TX
Internal MedicineTX
-TX
-TX

Reviews

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Frequently asked questions

Is DR. JARED KEALY (MD) listed with a National Provider Identifier?
Yes — DR. JARED KEALY (MD) has NPI 1003430208 on file in the registry.
Would DR. JARED KEALY (MD) appear as active to a payer?
You can treat DR. JARED KEALY (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. JARED KEALY (MD)?
DR. JARED KEALY (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Texas is DR. JARED KEALY (MD) registered?
Use Georgetown, Texas as the headline location for DR. JARED KEALY (MD) here.
Can I trust this NPI listing for DR. JARED KEALY (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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