Active NPI
Ryan Keneally, MD
- Anesthesiology Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 222856
- Practice address
- 900 23Rd St NW
Washington, DC 20037-2342 - Phone
- (202) 715-4750
- Fax
- (202) 715-4759
- NPI assigned
- Jan 23, 2006
- Last updated
- Mar 21, 2022
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 222856 | NY | Primary |
Addresses
Primary practice location
900 23Rd St NW
Washington, DC 20037-2342
Mailing address
4301 Jones Bridge Road
Bethesda, MD 20814-4712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 23Rd St NW
Washington, DC 20037-2342
Phone (202) 715-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222856 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Medical Faculty Associates, Inc | Anesthesiology | Current | Accepting new patients |
Locations
1200 Pecan St SE
Washington, DC 20032
Phone (610) 382-4422
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750
1701 Twin Springs Rd
Halethorpe, MD 21227
Phone (410) 737-5000
2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853
2101 E Jefferson St
#4E
Rockville, MD 20852
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.
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
-
dba So. Baltimore County ASC
- Ambulatory Surgical Clinic/Center
- Halethorpe, MD
- NPI 1942546486
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The George Washington University Hospital
- General Acute Care Hospital
- Washington, DC
- NPI 1487640207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1457321697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 JONES BRIDGE ROAD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208144712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 23RD ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200372342",
"telephone_number": "202-715-4750",
"fax_number": "202-715-4759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENEALLY",
"first_name": "RYAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "222856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.