Individual provider Active NPI

Terrence Colin Keaney, M.D

  • Dermatology Physician
  • Washington, DC
National Provider Identifier
1902049489
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD040495 Issued in DC
Practice address
1430 K St NW
Washington, DC 20005-2504
Phone
(202) 628-8855
NPI assigned
Apr 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD040495 DC Primary

Addresses

Primary practice location

1430 K St NW
Washington, DC 20005-2504

Mailing address

1430 K St NW
Washington, DC 20005-2504
Phone (202) 628-8855

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
I20141110000451 DC Practitioner - Dermatology 3870715774 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Virginia School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skindc PLLCGroup PAC ID 1557645140, 7 clinicians

Practice addresses (Care Compare)

1525 Wilson Blvd
Suite 125
Arlington, VA 22209-2470
Phone (703) 966-7127

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD040495DCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Faculty Associates, Inc Dermatology CurrentSince Aug 30, 2014 Accepting new patients
Skindc PLLC Dermatology CurrentSince Jun 1, 2017 Accepting new patients

Locations

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

1525 Wilson Blvd
Ste 125
Arlington, VA 22209
Phone (703) 214-6496

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1902049489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 K ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200052504",
            "telephone_number": "202-628-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 K ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200052504",
            "telephone_number": "202-628-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEANEY",
        "first_name": "TERRENCE",
        "middle_name": "COLIN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-13",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "DC",
            "license": "MD040495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.