Kristy A Keller, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

0101239578 Issued in VA

Practice address

500 Sentara Cir Ste 105
Williamsburg, VA 23188-5754

Phone

(757) 253-5653

Fax

(757) 378-2776

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

University of Michigan Medical School, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Obhg Virginia LLCGroup PAC ID 9436323342, 46 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.45 of 100Reported as group

Quality

76.15

Promoting interoperability

100

Improvement activities

40

Cost

75.34

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Obhg Virginia, LLC

  • Obstetrics & Gynecology Physician
  • Midlothian, VA
  • NPI 1972807394
  Medicare reassignment Care Compare group NPD
• Mid-Atlantic Womens Care PLC

  • Obstetrics & Gynecology Physician
  • Virginia Beach, VA
  • NPI 1699365072
  Medicare reassignment NPD

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1164512141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6353 CENTER DR STE 100",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024100",
            "telephone_number": "561-486-8439",
            "fax_number": "757-594-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SENTARA CIR STE 105",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885754",
            "telephone_number": "757-253-5653",
            "fax_number": "757-378-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "KRISTY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101239578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164512141",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Kayanan, LPC, LMFT, LSATP
• Keep Hope Enterprises, LLC
• Meredith Gray Kelderhouse, PHARMD
• Lena Erika Stephanie Kellam-Karras
• Brian D. Kellam
• Kyle Kelley
• Kathryn M Kelly, BCBA
• Kristina Marie Kelly, LMT
• Kristy Marie Kelly, DPT
• Humphrey T Kem-Bumbala, PHARM D

• Obstetrics & Gynecology Physician in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Obstetrics & Gynecology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.

Verify at the official NPI Registry.