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

Michael Paul Keenan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386178770

Michael Paul Keenan is an Emergency Medicine in Syracuse, New York. Graduated from State University of Ny Upstate Medical University in 2017, 9 years ago. Practices with Upstate Emergency Medicine, Inc, a 54-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

750 E Adams St
Syracuse, NY 13210-1126
Phone: (315) 464-4363
Fax: (315) 464-8690
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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 302825 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1386178770
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 12, 2017
Last updated in NPPESFebruary 3, 2021
Certification dateFebruary 3, 2021

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2017 (9 years in practice)
Group practice Upstate Emergency Medicine, Inc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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