Keagle Medical, Inc.
NPI 1770720641ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Los Angeles, CA
Surgery, Plastic and Reconstructive Surgery in Los Angeles, California, registered in NPPES in January 2009. The authorized official on file is Jennifer Newman Keagle, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770720641 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 14, 2009 |
| Last updated in NPPES | Sep 27, 2024 |
| Certified by provider | Sep 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | A64773 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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