NPIMap

Individual provider Active NPI

Timothy G Keenan, MD

  • Family Medicine Physician
  • Stratham, NH
National Provider Identifier
1508851791
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13165 Issued in NH
Practice address
118 Portsmouth Ave Ste A201
Stratham, NH 03885-4411
Phone
(603) 379-2844
Fax
(603) 379-2860
NPI assigned
Sep 14, 2005
Last updated
Nov 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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 13165 NH Primary

Addresses

Primary practice location

118 Portsmouth Ave Ste A201
Stratham, NH 03885-4411

Mailing address

118 Portsmouth Ave Ste A201
Stratham, NH 03885-4411
Phone (603) 379-2844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2026 through Jan 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

118 Portsmouth Ave
Suite 101
Stratham, NH 03885-2487

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.36 of 100Reported as apm
Quality
85.92
Promoting interoperability
78
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13165NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Core Health Services Inc Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tkeenan489255@direct.bilh.masshiway.net

Organizations & group practices 1

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1508851791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 PORTSMOUTH AVE STE A201",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "038854411",
            "telephone_number": "603-379-2844",
            "fax_number": "603-379-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PORTSMOUTH AVE STE A201",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "038854411",
            "telephone_number": "603-379-2844",
            "fax_number": "603-379-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "TIMOTHY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "13165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratham, NH

Sources for this page

Verify at the official NPI Registry.