Active NPI
Michael Kerrigan, MD
- Family Medicine Physician
- Vienna, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101279965
- Practice address
- 115 Park St SE
Vienna, VA 22180-4653 - Phone
- (703) 255-9100
- Fax
- (703) 255-3457
- NPI assigned
- Jun 24, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101279965 | VA | Primary |
Addresses
Primary practice location
115 Park St SE
Vienna, VA 22180-4653
Mailing address
115 Park St SE Ste 300
Vienna, VA 22180-4653
Phone (703) 255-9100
Other practice location 1
3650 Joseph Siewick Dr Ste 400
Fairfax, VA 22033-1715
Phone (703) 391-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250909000485 | DC | Practitioner - Family Practice | 5991144149 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- George Washington University School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Fairfax Family Practice Centers PCFair Oaks Hospitalist Physicians, PLLC
Practice addresses (Care Compare)
115 Park St SE
Suite 300
Vienna, VA 22180-4653
Phone (703) 255-9100
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3558
Hospital & facility affiliations
- Inova Fair Oaks Hospital
- Inova Fairfax Hospital
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 |
|---|---|---|---|
| 0116036865 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fair Oaks Hospitalist Physicians, PLLC | Current | Accepting new patients | |
| Fairfax Family Practice Centers PC | Family Medicine | Current | Accepting new patients |
Locations
6201 Centreville Rd
Ste 100
Centreville, VA 20121
Phone (703) 263-9600
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
3650 Joseph Siewick Dr
Ste 400
Fairfax, VA 22033
Phone (703) 391-2020
115 Park St SE
Ste 300
Vienna, VA 22180
Phone (703) 255-9100
115 Park St SE
Vienna, VA 22180
Phone (702) 255-9100
Interoperability endpoints
- mkerrigan742232@soc.inova.org
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Herndon, VA
- NPI 1205944964
DC, Family Medicine
Hospital & facility affiliations 3
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": "1656028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1679205108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 PARK ST SE STE 300",
"city": "VIENNA",
"state": "VA",
"postal_code": "221804653",
"telephone_number": "703-255-9100",
"fax_number": "703-255-3457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 PARK ST SE",
"city": "VIENNA",
"state": "VA",
"postal_code": "221804653",
"telephone_number": "703-255-9100",
"fax_number": "703-255-3457"
}
],
"practiceLocations": [
{
"address_1": "3650 Joseph Siewick Dr Ste 400",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220331715",
"country_code": "US",
"telephone_number": "703-391-2020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KERRIGAN",
"first_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-24",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101279965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.