IndividualActive
Keegan Koeneman, MD
NPI 1477499960 · Family Medicine Physician · Pocatello, ID
Keegan Koeneman, MD is a Family Medicine Physician provider in Pocatello, ID (NPI 1477499960).
Provider details
- NPI number
- 1477499960
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4681508 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
465 Memorial Dr
Pocatello, ID 83201-4008
Phone: (208) 232-7862
Street-level locationGet directions
Mailing address
500 S 11th Ave Ste 400
Pocatello, ID 83201-4880
Registry dates
- Enumerated
- 2026-04-27
- Last updated
- 2026-04-27
- Certified
- 2026-04-27
Frequently asked questions
- What is Keegan Koeneman's NPI number?
- Keegan Koeneman's National Provider Identifier (NPI) is 1477499960, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keegan Koeneman's specialty?
- Keegan Koeneman is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Keegan Koeneman located?
- Keegan Koeneman's practice location on file with NPPES is 465 Memorial Dr, Pocatello, ID 83201-4008.
- What is Keegan Koeneman's phone number?
- The practice phone number listed in the NPPES registry for Keegan Koeneman is (208) 232-7862.
- Is Keegan Koeneman's NPI active?
- Yes — Keegan Koeneman's NPI (1477499960) is active in the NPPES registry as of the last update on 2026-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.