Active NPI
Tiarnan Keenan
- Retina Specialist (Ophthalmology) Physician
- Bethesda, MD
National Provider Identifier
1801618186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- MD22678
- Practice address
- 9000 Rockville Pike
Bethesda, MD 20892 - Phone
- (301) 451-6330
- NPI assigned
- Oct 29, 2024
- 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 |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | MD22678 | ME | Primary |
Addresses
Primary practice location
9000 Rockville Pike
Bethesda, MD 20892
Mailing address
9719 Singleton Dr.
Bethesda, MD 20817
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- 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 |
|---|---|---|---|---|
| I20241105000843 | ME | Order and Referring Only - Ophthalmology | 9436683026 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1801618186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9719 SINGLETON DR.",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 ROCKVILLE PIKE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20892",
"telephone_number": "301-451-6330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEENAN",
"first_name": "TIARNAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-29",
"last_updated": "2024-10-29",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "ME",
"license": "MD22678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.