Active NPI
Aksel Keklik, PA
- Physician Assistant
- Suffolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110001528
- Practice address
- 150 Burnetts Way
Ste. 100
Suffolk, VA 23434-8168 - Phone
- (757) 547-5145
- Fax
- (757) 539-7488
- NPI assigned
- Jul 13, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110001528 | VA | Primary |
Addresses
Primary practice location
150 Burnetts Way
Ste. 100
Suffolk, VA 23434-8168
Mailing address
501 Discovery Dr
Chesapeake, VA 23320-3843
Phone (757) 547-5145
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49849053 | Other | VA | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Burnetts Way
Suite 100
Suffolk, VA 23434-8168
Phone 75754751453502
5801 Harbour View Blvd
Suite 200
Suffolk, VA 23435-2657
Phone 75754751453502
Hospital & facility affiliations
- Sentara Obici Hospital
- Bon Secours Maryview Medical Center
- Chesapeake General Hospital
- Sentara Norfolk General Hospital
- Sentara Leigh Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.83 of 100
- Quality
- 47.9
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 79.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Medicine and Orthopaedic Center | Current | Accepting new patients | |
| Sport Medicine and Orthopaedic Center Inc | Physician Assistant | Current | Accepting new patients |
Locations
814 Greenbrier Cir
Ste F
Chesapeake, VA 23320
Phone (757) 842-7010
501 Discovery Dr
Chesapeake, VA 23320
Phone (757) 842-7010
5801 Harbour View Blvd
Ste 200
Suffolk, VA 23435
Phone 75754751453502
150 Burnetts Way
Ste 100
Suffolk, VA 23434
Phone 75754751453502
2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 363-6850
Interoperability endpoints
- https://api.platform.athenahealth.com/24174/brand/1/csg/1/fhir/r4
- aksel.keklik.1@24174.direct.athenahealth.com
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.
-
- Orthopaedic Surgery Physician
- Chesapeake, VA
- NPI 1043246556
Physician Assistant
-
- Physical Therapist
- Chesapeake, VA
- NPI 1386303832
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1003265075
-
- General Acute Care Hospital
- Chesapeake, VA
- NPI 1700896354
-
- General Acute Care Hospital
- Portsmouth, VA
- NPI 1750399192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1043235989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 DISCOVERY DR",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233203843",
"telephone_number": "757-547-5145",
"fax_number": "757-312-0216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 BURNETTS WAY",
"address_2": "STE. 100",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234348168",
"telephone_number": "757-547-5145",
"fax_number": "757-539-7488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEKLIK",
"first_name": "AKSEL",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2023-03-07",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110001528",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "49849053",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.