Active NPI
Mera Keenan, MD
- Obstetrics & Gynecology Physician
- Falls Church, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0101273536
- Practice address
- 3300 Gallows Rd
Falls Church, VA 22042-3300 - Phone
- (703) 776-4001
- Fax
- (703) 776-7113
- NPI assigned
- May 28, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME131985 | FL | |
| Obstetrics & Gynecology Physician | 207V00000X | D0089864 | MD | |
| Obstetrics & Gynecology Physician | 207V00000X | 0101273536 | VA | Primary |
Addresses
Primary practice location
3300 Gallows Rd
Falls Church, VA 22042-3300
Mailing address
PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699
Other practice location 1
14540 Old Saint Augustine Rd Ste 2499
Jacksonville, FL 32258-7418
Phone (904) 296-2441
Other practice location 2
6879 Southpoint Dr N
Jacksonville, FL 32216
Phone (904) 296-2441
Other practice location 3
26005 Ridge Rd Ste 200
Damascus, MD 20872-1899
Phone (301) 414-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0089864 | MD | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
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.
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
DC, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Damascus, MD
- NPI 1558411934
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Diagnostic Radiology Physician
- Waldorf, MD
- NPI 1851829550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1417394818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37174",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973174",
"telephone_number": "571-423-5699",
"fax_number": "571-423-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 GALLOWS RD",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220423300",
"telephone_number": "703-776-4001",
"fax_number": "703-776-7113"
}
],
"practiceLocations": [
{
"address_1": "14540 Old Saint Augustine Rd Ste 2499",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322587418",
"country_code": "US",
"telephone_number": "904-296-2441",
"fax_number": "904-345-3150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6879 Southpoint Dr N",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "32216",
"country_code": "US",
"telephone_number": "904-296-2441",
"fax_number": "904-821-3113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "26005 Ridge Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Damascus",
"state": "MD",
"postal_code": "208721899",
"country_code": "US",
"telephone_number": "301-414-2300",
"fax_number": "301-414-0476",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEENAN",
"first_name": "MERA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-28",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME131985",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MD",
"license": "D0089864",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0101273536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.