Keenan Milonas M.D. Professional Services PLLC
NPI 1013665751 · Family Medicine Physician · Liberty Lake, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Keenan Milonas M.D. Professional Services PLLC is a Family Medicine Physician organization in Liberty Lake, WA (NPI 1013665751).
Provider details
- NPI number
- 1013665751
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Keenan Milonas M.D. Professional Services PLLC
- Organization subpart
- Yes
- Authorized official
- Ciara Lopez, Assistant Manager(509) 241-3541
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Custom MD
- Doing business as
- Custom Medicine MD
Registry dates
- Enumerated
- 2022-03-11
- Last updated
- 2022-03-11
- Certified
- 2022-03-11
Frequently asked questions
- What is Keenan Milonas M.D. Professional Services PLLC's NPI number?
- Keenan Milonas M.D. Professional Services PLLC's National Provider Identifier (NPI) is 1013665751, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Keenan Milonas M.D. Professional Services PLLC?
- Keenan Milonas M.D. Professional Services PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Keenan Milonas M.D. Professional Services PLLC located?
- Keenan Milonas M.D. Professional Services PLLC's practice location on file with NPPES is 2207 N Molter Rd Ste 100, Liberty Lake, WA 99019-7571.
- What is Keenan Milonas M.D. Professional Services PLLC's phone number?
- The practice phone number listed in the NPPES registry for Keenan Milonas M.D. Professional Services PLLC is (509) 241-3541.
- Does Keenan Milonas M.D. Professional Services PLLC accept Medicare?
- Keenan Milonas M.D. Professional Services PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Keenan Milonas M.D. Professional Services PLLC?
- The authorized official listed on Keenan Milonas M.D. Professional Services PLLC's NPPES record is Ciara Lopez, Assistant Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Keenan Milonas M.D. Professional Services PLLC's NPI active?
- Yes — Keenan Milonas M.D. Professional Services PLLC's NPI (1013665751) is active in the NPPES registry as of the last update on 2022-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.