Individual provider Active NPI

Stacey J Keen, MD

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1972571958
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D32450 Issued in MD
Practice address
7253 Ambassador Rd.
Baltimore, MD 21244-2714
Phone
(443) 436-1114
NPI assigned
Mar 8, 2006
Last updated
Jan 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D32450 MD Primary

Addresses

Primary practice location

7253 Ambassador Rd.
Baltimore, MD 21244-2714

Mailing address

9708 Oak Hill Dr
Ellicott City, MD 21042-6334
Phone (410) 740-2866

Other identifiers 1

IdentifierTypeStateIssuer
546871000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20100810000046 MD Practitioner - Diagnostic Radiology 5395878581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Virginia School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Radiology P aGroup PAC ID 1254327950, 155 clinicians

Practice addresses (Care Compare)

104 Plumtree Rd
Bel Air, MD 21015-6095

116 Defense Hwy
Suite Ll100
Annapolis, MD 21401-7626
Phone (888) 972-9700

1209 York Rd
Suite 100
Lutherville, MD 21093-6208
Phone (888) 972-9700

122 Defense Hwy
Suite 102
Annapolis, MD 21401-7044
Phone (888) 972-9700

124 Sister Pierre Dr
Towson, MD 21204-7507
Phone (888) 972-9700

1430 Progress Way
Suite 108
Eldersburg, MD 21784-6484
Phone (888) 972-9700

1700 Reisterstown Rd
Baltimore, MD 21208-2935

200 Hospital Dr
Suite Ll20And112
Glen Burnie, MD 21061-5884
Phone (888) 972-9700

201 Plumtree Rd
Suite 101
Bel Air, MD 21015-6055
Phone (888) 972-9700

203 Hospital Dr
Suite 100
Glen Burnie, MD 21061-6904
Phone (888) 972-9700

2080 York Rd
Suite 160
Timonium, MD 21093-4249
Phone (888) 972-9700

21 Crossroads Dr
Suite 120
Owings Mills, MD 21117-5497
Phone (888) 972-9700

4211 Blakely Ave
Baltimore, MD 21236-2456

4801 Dorsey Hall Dr
Ellicott City, MD 21042-7703

650 McHenry Rd
Suite 1400
Aberdeen, MD 21001-2607
Phone (443) 718-8709

6565 N Charles St
Suite 100
Baltimore, MD 21204-6807
Phone (888) 972-9700

6715 N Charles St
Suite 250
Towson, MD 21204-6822
Phone (888) 972-9700

7501 Osler Dr
Towson, MD 21204-7743
Phone (888) 972-9700

8601 Veterans Hwy
Suite 100
Millersville, MD 21108-1571
Phone (888) 972-9700

8820 Columbia 100 Pkwy
Suite 100
Columbia, MD 21045-2169
Phone (888) 972-9700

9101 Franklin Square Dr
Suite 102
Baltimore, MD 21237-4255
Phone (888) 972-9700

9105 Franklin Square Dr
Baltimore, MD 21237-3930
Phone (888) 972-9700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40
Cost
74.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D32450MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Radiology P a Diagnostic Radiology CurrentSince Jun 1, 1999 Accepting new patients
Advanced Radiology P a Diagnostic Radiology CurrentSince Jun 1, 1999 Accepting new patients
American Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients

Locations

26999 Network Pl
Chicago, IL 60673

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

8820 Columbia 100 Pkwy
Ste 100
Columbia, MD 21045
Phone (443) 436-4100

4801 Dorsey Hall Dr
Ste 101
Ellicott City, MD 21042
Phone (443) 436-1600

6715 N Charles St
Towson, MD 21204
Phone (410) 296-5610

7253 Ambassador Rd
Windsor Mill, MD 21244
Phone (410) 281-9191

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1972571958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9708 OAK HILL DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426334",
            "telephone_number": "410-740-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7253 AMBASSADOR RD.",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442714",
            "telephone_number": "443-436-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEN",
        "first_name": "STACEY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D32450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "546871000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.