Active NPI
Jonathan Patrick Keenan, M.D.
- Family Medicine Physician
- Lutz, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME150708
- Practice address
- 15953 N Florida Ave
Lutz, FL 33549-8102 - Phone
- (813) 513-0808
- Fax
- (833) 973-3680
- NPI assigned
- Jun 4, 2014
- Last updated
- Feb 2, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME150708 | FL | Primary |
Addresses
Primary practice location
15953 N Florida Ave
Lutz, FL 33549-8102
Mailing address
15953 N Florida Ave
Lutz, FL 33549-8102
Phone (813) 513-0808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- George Washington University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
140 6TH Ave
Indialantic, FL 32903-3204
Phone (321) 312-3501
15953 N Flordia Ave
Lutz, FL 33549-8102
Phone (202) 709-5665
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME150708 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy Family Health LLC | Family Medicine | Current | Accepting new patients |
| Privia Medical Group Florida, LLC | Current | Accepting new patients |
Locations
140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501
15953 N Florida Ave
Lutz, FL 33549
Phone (813) 513-0808
989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777
Interoperability endpoints
- jonathan.keenan.1@8042.direct.athenahealth.com
Organizations & group practices 2
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.
-
- General Practice Physician
- Indialantic, FL
- NPI 1700649043
-
- Family Medicine Physician
- Lutz, FL
- NPI 1306682364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1326451733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15953 N FLORIDA AVE",
"city": "LUTZ",
"state": "FL",
"postal_code": "335498102",
"telephone_number": "813-513-0808",
"fax_number": "833-973-3680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15953 N FLORIDA AVE",
"city": "LUTZ",
"state": "FL",
"postal_code": "335498102",
"telephone_number": "813-513-0808",
"fax_number": "833-973-3680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEENAN",
"first_name": "JONATHAN",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-04",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME150708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.