Individual provider Active NPI

Jonathan Keung, M.D.

  • Vascular & Interventional Radiology Physician
  • Fairfax, VA
National Provider Identifier
1740574698
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
0101252368 Issued in VA
Practice address
8505 Arlington Blvd Ste 400
Fairfax, VA 22031-4636
Phone
(703) 698-4444
NPI assigned
Jun 7, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X 0101252368 VA
Diagnostic Radiology Physician 2085R0202X 0101252368 VA
Vascular & Interventional Radiology Physician 2085R0204X 0101252368 VA Primary

Addresses

Primary practice location

8505 Arlington Blvd Ste 400
Fairfax, VA 22031-4636

Mailing address

8901 Wisconsin Avenue Dept of Radiology
Bethesda, MD 20889-0001
Phone (301) 295-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20231026003928 DC Practitioner - Interventional Radiology 0840646816 Reassigns benefits to 3 organizations
I20240328003430 VA Practitioner - Interventional Radiology 0840646816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Georgetown University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ifrc LLCGroup PAC ID 2961829882, 135 clinicians
Fairfax Radiological ConsultantsGroup PAC ID 8628970324, 151 clinicians

Practice addresses (Care Compare)

19455 Deerfield Ave
Suite 102
Leesburg, VA 20176-8102
Phone (703) 698-4488

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 698-4444

3299 Woodburn Rd
Suite 110
Annandale, VA 22003-7310
Phone (703) 698-4488

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

4 Pidgeon Hill Dr
Sterling, VA 20165-6173
Phone (703) 698-4488

4001 Prince William Pkwy
Suite 302
Woodbridge, VA 22192-7667
Phone (703) 698-4444

4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 698-4444

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6470

6355 Walker LN
Alexandria, VA 22310-3245
Phone (703) 698-4444

8081 Innovation Park Dr
Fairfax, VA 22031-4867
Phone (703) 204-8333

8505 Arlington Blvd
Suite 400
Fairfax, VA 22031-4636
Phone (703) 698-4484

9321 Sanger St
Lorton, VA 22079-2720
Phone (703) 698-4444

Hospital & facility affiliations

  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Inova Loudoun Hospital Hospital, Leesburg, VA, CCN 490043
  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122

Merit-based Incentive Payment System (MIPS)

Final score
15 of 100Reported as group
Quality
0
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
28.96 of 100Reported as group
Quality
16.43
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
58.12
Improvement activities
40
Cost
68.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Oct 5, 2023 Accepting new patients
Ifrc, LLC CurrentSince Oct 5, 2023 Accepting new patients
Fairfax Radiological Consultants Diagnostic Radiology CurrentSince Oct 5, 2023 Accepting new patients
Inova Reston MRI Center LLC Diagnostic Radiology CurrentSince Oct 5, 2023 Accepting new patients
Inova Reston MRI Center LLC CurrentSince Oct 5, 2023 Accepting new patients

Locations

8926 Woodyard Rd
Ste 301
Clinton, MD 20735
Phone (301) 856-3670

3299 Woodburn Rd
Ste 110
Annandale, VA 22003
Phone (703) 849-9050

43490 Yukon Dr
Ste 204
Ashburn, VA 20147
Phone (571) 665-6960

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

8260 Willow Oaks Corporate Dr
Ste 750
Fairfax, VA 22031
Phone (703) 481-9400

8081 Innovation Park Dr
Ste 204
Fairfax, VA 22031
Phone (703) 698-9600

8505 Arlington Blvd
Ste 400
Fairfax, VA 22031
Phone (571) 226-5600

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

100 Elden St
Ste 16M
Herndon, VA 20170
Phone (703) 481-9400

19455 Deerfield Ave
Ste 102
Leesburg, VA 20176
Phone (703) 858-0001

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

Organizations & group practices 5

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 7

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": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1740574698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVENUE DEPT OF RADIOLOGY",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890001",
            "telephone_number": "301-295-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 ARLINGTON BLVD STE 400",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314636",
            "telephone_number": "703-698-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEUNG",
        "first_name": "JONATHAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-07",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "VA",
            "license": "0101252368",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101252368",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101252368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.