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MADELEINE ELYSE KEENAN MD
NPI 1083554091
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Active since March 30, 2026PECOS Enrolled
1215 LEE ST., BOX 800744, CHARLOTTESVILLE, VA 22908(434) 924-1931(434) 244-4451 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madeleine Elyse Keenan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADELEINE ELYSE KEENAN MD (NPI 1083554091) is an individual student in an organized health care education/training program in Charlottesville, Virginia and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083554091
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMADELEINE ELYSE KEENANCredential: MD
Location Address1215 LEE ST., BOX 800744Charlottesville, VA 22908-0816
Mailing Address1215 Lee St., Box 800744Charlottesville, VA 22908-0816 · (434) 924-1931 · Fax (434) 244-4451
Phone(434) 924-1931
Fax(434) 244-4451
Sole ProprietorNo
Enumeration DateMarch 30, 2026
NPPES CertifiedMarch 30, 2026
✔ NPI 1083554091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1215 LEE ST., Charlottesville, VA 22908
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madeleine Elyse Keenan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FARHAN ANJUM KHAN MD
Student in an Organized Health Care Education/Training Program
1215 LEE ST., BOX 800699
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-8485
VALERIE MATT MD
Psychiatry & Neurology (Neurology)
1215 LEE ST., MAIL STOP 800394
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5306
ELISABETH MILLER
Student in an Organized Health Care Education/Training Program
1215 LEE ST., MAIL STOP 800904
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 982-1018
DR. VATSAL PANKUJ LAL MD
Student in an Organized Health Care Education/Training Program
1215 LEE ST.
CHARLOTTESVILLE, VA 22908
Charlottesville City (540) 951-1111
JACOB LEATON KAMINER
Student in an Organized Health Care Education/Training Program
1215 LEE ST., BOX 800499
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5348
EMILY MARIE GARDNER
Student in an Organized Health Care Education/Training Program
1215 LEE ST., MAIL STOP '800904'
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 982-1018
SUZAHN EBERT
Student in an Organized Health Care Education/Training Program
1215 LEE ST., MAIL STOP 800394
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5306
JOSHUA D BATISTA
Student in an Organized Health Care Education/Training Program
1215 LEE ST., BOX 800499
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5348

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madeleine Keenan's NPI number?

The NPI number for Madeleine Keenan is 1083554091. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Where is Madeleine Keenan located?

Madeleine Keenan practices at 1215 Lee St. Box 800744, Charlottesville, VA 22908. The listed phone number is (434) 924-1931.

What is Madeleine Keenan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Madeleine Keenan enrolled in Medicare?

Yes. Madeleine Keenan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madeleine Keenan was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.