Individual provider Active NPI

Grace L. Keenan, M.D., CEO

  • Internal Medicine Physician
  • Ashburn, VA
National Provider Identifier
1770518821
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101041478 Issued in VA
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

Updated by the provider on Feb 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1770518821MedicaidVA

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
I20040406000613 DC Practitioner - Internal Medicine 6406849413 Reassigns benefits to 2 organizations
I20050629000410 VA Practitioner - Internal Medicine 6406849413 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince May 2, 2016 Accepting new patients
Inova Physician Partners, LLC CurrentSince May 2, 2016 Accepting new patients
Inova Health Care Services Internal Medicine Current Accepting new patients
Inova Health Care Services CurrentSince May 2, 2016 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.

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

Verify at the official NPI Registry.