Individual provider Active NPI

Keith Robinson, D.O.

  • Dermatology Physician
  • Danville, VA
National Provider Identifier
1174704183
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0102203385 Issued in VA
Practice address
117 Executive Dr
Danville, VA 24541-4101
Phone
(434) 792-0423
Fax
(434) 791-4694
NPI assigned
Nov 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 34.009401 OH
Internal Medicine Physician 207R00000X 58-002558 OH
Dermatology Physician 207N00000X 0102203385 VA Primary

Addresses

Primary practice location

117 Executive Dr
Danville, VA 24541-4101

Mailing address

117 Executive Dr
Danville, VA 24541-4101
Phone (434) 792-0423

Other practice location 1

131 Temple Lake Dr
Colonial Heights, VA 23834-4903
Phone (804) 805-8442

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130916000129 VA Practitioner - Dermatology 9234285164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Kansas City University of Physicians and Surgeons, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complexions Dermatology, PCGroup PAC ID 5294977401, 9 clinicians

Practice addresses (Care Compare)

117 Executive Dr
Danville, VA 24541-4101
Phone (434) 792-0423

Hospital & facility affiliations

  • Sovah Health Danville Hospital, Danville, VA, CCN 490075

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision53
Removal of tissue1-10
Removal of skin lesions1420
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy476

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.009401OHMDDermatology Physician
0102203385VAMDDermatology Physician
58-002558OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complexions Dermatology, PC Dermatology CurrentSince Aug 1, 2013 Accepting new patients

Locations

131 Temple Lake Dr
Ste 1
Colonial Heights, VA 23834
Phone (804) 805-8442

117 Executive Dr
Danville, VA 24541
Phone (434) 792-0423

4545 Riverside Dr
Ste D
Danville, VA 24541
Phone (434) 792-0493

Interoperability endpoints

  • Direct secure messaging: keith.robinson.1@6989.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1174704183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 EXECUTIVE DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414101",
            "telephone_number": "434-792-0423",
            "fax_number": "434-791-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 EXECUTIVE DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414101",
            "telephone_number": "434-792-0423",
            "fax_number": "434-791-4694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Temple Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Colonial Heights",
            "state": "VA",
            "postal_code": "238344903",
            "country_code": "US",
            "telephone_number": "804-805-8442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-19",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34.009401",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "58-002558",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0102203385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.