Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Keenan Mahan, MD, MBA

Individual provider Emergency Medicine Physician · NPI 1104387158

Dr. Keenan Mahan, MD, MBA is an Emergency Medicine in Newton, Massachusetts. Graduated from Harvard Medical School in 2019, 7 years ago. Practices with Mass General Brigham Medical Group Northern Massachusetts Inc, a 819-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
7
Trained at
Harvard Medical School
Licensed in
MA
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

2014 Washington St
Newton, MA 02462-1607
Phone: (617) 243-6193
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 290245 (MA)

Record details

NPI number1104387158
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MBA
Sole proprietorNo
NPI enumeratedMarch 30, 2019
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 2019 (7 years in practice)
Group practice Mass General Brigham Medical Group Northern Massachusetts Inc — 819 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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