Abigail Keogh
Pediatrics in Providence, RI. Individual provider (NPI-1).
NPI number1043673312
StatusActive
Last updated in NPPESFeb 15, 2023
Details
- NPI
- 1043673312
- Entity type
- Individual (NPI-1)
- Name
- Abigail Keogh
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2016
- Certification date
- Feb 15, 2023
- Last updated
- Feb 15, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PEDIATRIC MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | MD16833 | RI | Yes |
| 208000000X | Pediatrics | 292262 | MA |
Practice location
593 Eddy StProvidence, RI 02903-4923
Phone 401-444-4515
Mailing address
117 Ellenfield St Ste 101Providence, RI 02905-4541
Phone 401-444-6779
Other practice locations
300 Longwood Ave
Boston, MA 02115-5724
Boston, MA 02115-5724
Phone 617-355-6000
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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