Individual provider Active NPI

Janice Lynn Keyes, MD

  • Family Medicine Physician
  • Centreville, VA
National Provider Identifier
1194810358
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101039865 Issued in VA
Practice address
6101 Redwood Square Ctr Ste 200
Centreville, VA 20121-4267
Phone
(703) 631-0331
Fax
(703) 631-2573
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101039865 VA Primary

Addresses

Primary practice location

6101 Redwood Square Ctr Ste 200
Centreville, VA 20121-4267

Mailing address

6101 Redwood Square Ctr Ste 200
Centreville, VA 20121-4267
Phone (703) 631-0331

Other practice location 1

13890 Braddock Rd
#201
Centreville, VA 20121
Phone (703) 631-0331

Other identifiers 1

IdentifierTypeStateIssuer
5634571MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jkeyes13313@soc.inova.org Health Information Exchange (HIE) Inova Physician Partners, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110106000960 DC Practitioner - Family Practice 1658560602 Reassigns benefits to 1 organization
I20150730013341 VA Practitioner - Family Practice 1658560602 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Physician Partners, LLC Family Medicine CurrentSince Aug 27, 2012 Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Inova Health Care Services PastSince May 16, 2021 Accepting new patients

Locations

6101 Redwood Square Ctr
Ste 200
Centreville, VA 20121
Phone (703) 631-0331

13890 Braddock Rd
Ste 201
Centreville, VA 20121
Phone (703) 631-0331

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1194810358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 REDWOOD SQUARE CTR STE 200",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201214267",
            "telephone_number": "703-631-0331",
            "fax_number": "703-631-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 REDWOOD SQUARE CTR STE 200",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201214267",
            "telephone_number": "703-631-0331",
            "fax_number": "703-631-2573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13890 Braddock Rd",
            "address_2": "#201",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "VA",
            "postal_code": "20121",
            "country_code": "US",
            "telephone_number": "703-631-0331",
            "fax_number": "703-631-2573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEYES",
        "first_name": "JANICE",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101039865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5634571",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkeyes13313@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Physician Partners, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "6101 Redwood Square Ctr Ste 200",
            "city": "Centreville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201214267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

Verify at the official NPI Registry.