Physician Compare National (NPI:1518903921)

HEALTHCARE PROVIDER: ROBERT C. KEELEY M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1518903921
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3274520853
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110309000991
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KEELEY
	Individual professional last name
Provider First Name	ROBERT
	Individual professional first name
Provider Middle Name	CARROLL
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1980
	Individual professional's medical school graduation year
Primary Specialty	PULMONARY DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1315 2ND SWST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	ROANOKE
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	240164935
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	490024
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CARILION MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	490048
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LEWISGALE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	490089
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CARILION FRANKLIN MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y