Individual provider Active NPI

Kelly Miranda, DPM

  • Foot & Ankle Surgery Podiatrist
  • Washington, DC
National Provider Identifier
1184243305
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO50083033 Issued in DC
Practice address
106 Irving St NW Ste 402
Washington, DC 20010-2989
Phone
(202) 726-1800
Fax
(202) 726-9661
NPI assigned
Apr 9, 2020
Last updated
Dec 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO50083033 DC Primary

Addresses

Primary practice location

106 Irving St NW Ste 402
Washington, DC 20010-2989

Mailing address

106 Irving St NW Ste 402
Washington, DC 20010-2989
Phone (202) 726-1800

Other names 1

  • Kelly McKeon Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, VA, DC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230619000677 GA Practitioner - Podiatry 3577921857 Reassigns benefits to 1 organization
I20241014004361 VA Practitioner - Podiatry 3577921857 Reassigns benefits to 1 organization
I20250604000461 DC Practitioner - Podiatry 3577921857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DMV Foot and Ankle, P.C.Group PAC ID 0345432159, 2 clinicians

Practice addresses (Care Compare)

106 Irving St NW
Suite 402
Washington, DC 20010-2989
Phone (202) 726-1800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue38
Removal of skin lesions12
Removal of nail tissue200
Removal or shaving of skin growth63
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO50083033DCMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Village Podiatry Group, L.L.C. Podiatrist CurrentSince Aug 1, 2023 Accepting new patients
DMV Foot and Ankle, P.C. Podiatrist CurrentSince Nov 13, 2025 Accepting new patients
Village Podiatry Group LLC Podiatrist CurrentSince Aug 1, 2023 Accepting new patients
WHC Physician Group LLC PastSince Nov 13, 2025 Accepting new patients

Locations

106 Irving St NW
Ste 402
Washington, DC 20010
Phone (202) 582-5539

5445 Meridian Mark Rd
Ste 390
Sandy Springs, GA 30342
Phone (404) 237-3668

4101 Charlotte Ave
Ste F185
Nashville, TN 37209
Phone (678) 426-2171

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1184243305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 IRVING ST NW STE 402",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102989",
            "telephone_number": "202-726-1800",
            "fax_number": "202-726-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 IRVING ST NW STE 402",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102989",
            "telephone_number": "202-726-1800",
            "fax_number": "202-726-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "KELLY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "DC",
            "license": "PO50083033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MCKEON",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.