Individual provider Active NPI

Michael Kerrigan, MD

  • Family Medicine Physician
  • Vienna, VA
National Provider Identifier
1679205108
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101279965 Issued in VA
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

Updated by the provider on Aug 11, 2026

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PC 106 clinicians
Fair Oaks Hospitalist Physicians, PLLC 63 clinicians

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 Hospital, Fairfax, VA, CCN 490101
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116036865VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fair Oaks Hospitalist Physicians, PLLC CurrentSince Sep 1, 2025 Accepting new patients
Fairfax Family Practice Centers PC Family Medicine CurrentSince Jul 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.