Andrew Keenan, M.D.

Primary specialty

Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X

License

D0026012 Issued in MD

Practice address

901 Harry S Truman Dr N
Largo, MD 20774-5477

Phone

(301) 677-2149

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC, NJ, MD, PA4 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 4

Specialty

Nuclear Medicine

Education

George Washington University School of Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medstar Saint Mary'S Hospital Hospital, Leonardtown, MD, CCN 210028
• Medstar Southern Maryland Hospital Center Hospital, Clinton, MD, CCN 210062
• University of MD Capital Region Medical Center Hospital, Upper Marlboro, MD, CCN 210003
• Medstar Franklin Square Medical Center Hospital, Rosedale, MD, CCN 210015
• Medstar Georgetown University Hospital Hospital, Washington, DC, CCN 090004

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24726/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187

  DC

  Medicare reassignment Care Compare group NPD
• Cardio Pulmonary Diagnostic LLC

  • Cardiovascular Disease Physician
  • Elizabeth, NJ
  • NPI 1023112638
  Medicare reassignment NPD
• Medstar Medical Group Radiology, LLC

  • Diagnostic Radiology Physician
  • Washington, DC
  • NPI 1326450156

  MD

  Medicare reassignment NPD
• Saddle River Medical Group, LLC

  • Cardiovascular Disease Physician
  • Saddle River, NJ
  • NPI 1598136236
  Medicare reassignment NPD
• Revascmedprofessionals PC

  • Cardiovascular Disease Physician
  • Philadelphia, PA
  • NPI 1669074795
  Medicare reassignment
• Advanced Imaging Diagnostics LLC

  • Nuclear Cardiology Physician
  • Silver Spring, MD
  • NPI 1225525256
  NPD
• Medstar Medical Group II LLC

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1376887844
  NPD
• American Diagnostic Medicine

  • Radiology Clinic/Center
  • Greenbelt, MD
  • NPI 1518075753
  NPD (past)
• American Radiology Associates, P.a.

  • Diagnostic Radiology Physician
  • Prince Frederick, MD
  • NPI 1629235312
  NPD (past)
• Physician Imaging of Washington Hospital Center LLC

  • Radiology Clinic/Center
  • Chevy Chase, MD
  • NPI 1831385871
  NPD (past)
• Riverside Medical Associates PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Riverdale, MD
  • NPI 1730132648
  NPD (past)
• American Diagnostic Medicine

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Beverly Hills, FL
  • NPI 1700994910
  NPD (past)

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

• Dimensions Health Corporation

  • General Acute Care Hospital
  • Upper Marlboro, MD
  • NPI 1720099286
  Care Compare affiliation
• Franklin Square Hospital Center, Inc

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1184712085
  Care Compare affiliation
• Medstar Southern Maryland Hospital Center Inc

  • General Acute Care Hospital
  • Clinton, MD
  • NPI 1366790693
  Care Compare affiliation
• St Marys Hospital of St Marys County Inc

  • General Acute Care Hospital
  • Leonardtown, MD
  • NPI 1780650473
  Care Compare affiliation
• Medstar - Georgetown Medical Center, Inc.

  • General Acute Care Hospital
  • Washington, DC
  • NPI 1427145176
  Care Compare affiliation

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1467405175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 MCDUFF DR",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "207323202",
            "telephone_number": "410-703-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 HARRY S TRUMAN DR N",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745477",
            "telephone_number": "301-677-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0026012",
            "primary": false
        },
        {
            "code": "207UN0903X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine",
            "state": "MD",
            "license": "D0026012",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "MD",
            "license": "D0026012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331441300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nuclear Medicine Physician in Largo, MD
• Providers in Largo, MD by specialty
• Nuclear Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.

Verify at the official NPI Registry.