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

Shane Keogh, MD

Individual provider Diagnostic Radiology Physician · NPI 1114314937

Shane Keogh, MD is a Diagnostic Radiology in Johnson City, New York. Graduated from State University of Ny Upstate Medical University in 2015, 11 years ago. Practices with Diagnostic Imaging Services LLC, a 17-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
11
Trained at
State University of Ny Upstate Medical University
Licensed in
MD
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

33-57 Harrison St
Johnson City, NY 13790-2107
Phone: (607) 763-6674
Fax: (607) 798-1629
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence D0091217 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114314937
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2015
Last updated in NPPESJune 7, 2021
Certification dateJune 7, 2021
Mailing address346 Grand Ave, Johnson City, NY 13790-2580

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2015 (11 years in practice)
Group practice Diagnostic Imaging Services Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Johnson City