Active NPI
Grace L. Keenan, M.D., CEO
- Internal Medicine Physician
- Ashburn, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101041478
- Practice address
- 21785 Filigree CT
Suite 100
Ashburn, VA 20147-6213 - Phone
- (703) 554-1100
- Fax
- (703) 554-1110
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101041478 | VA | Primary |
Addresses
Primary practice location
21785 Filigree CT
Suite 100
Ashburn, VA 20147-6213
Mailing address
21785 Filigree CT
Suite 100
Ashburn, VA 20147-6213
Phone (703) 554-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770518821 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Physician Partners, LLC | Current | Accepting new patients | |
| Inova Health Care Services | Internal Medicine | Current | Accepting new patients |
| Inova Health Care Services | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Inova Physician Partners, Inc. - Specialists | Past | Accepting new patients | |
| Nova Medical and Urgent Care Center, Inc. | Internal Medicine | Past | Accepting new patients |
Locations
21785 Filigree Ct
Ste 203
Ashburn, VA 20147
Phone (703) 554-1100
21785 Filigree Ct
Ste 100
Ashburn, VA 20147
Phone (703) 554-1100
21785 Filigree Ct
Ashburn, VA 20147
Phone (703) 554-1100
6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600
3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
8110 Gatehouse Rd
Ste 300W
Falls Church, VA 22042
Phone (703) 205-2214
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
51 Catoctin Cir NE
Leesburg, VA 20176
Phone (703) 777-9510
44055 Riverside Pkwy
#20811302
Leesburg, VA 20176
Phone (703) 729-7652
740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995
1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922
Organizations & group practices 7
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.
-
dba Inova Urgent Care Center
- Urgent Care Clinic/Center
- Vienna, VA
- NPI 1275886418
DC
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Orthopaedic Surgery Physician
- Leesburg, VA
- NPI 1811204050
-
dba Nova Urgent Care
- Nurse Practitioner
- Ashburn, VA
- NPI 1699798520
Internal Medicine
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456185600000",
"number": "1770518821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21785 FILIGREE CT",
"address_2": "SUITE 100",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201476213",
"telephone_number": "703-554-1100",
"fax_number": "703-554-1110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21785 FILIGREE CT",
"address_2": "SUITE 100",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201476213",
"telephone_number": "703-554-1100",
"fax_number": "703-554-1110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEENAN",
"first_name": "GRACE",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "M.D., CEO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2016-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101041478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1770518821",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.