NPIMap

Individual provider Active NPI

Keith Peyton Randolph Burwell, D.O.

  • Rheumatology Physician
  • North Chesterfield, VA
National Provider Identifier
1215298716
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
0102204553 Issued in VA
Practice address
1401 Johnston Willis Dr Ste 1200
North Chesterfield, VA 23235-4730
Phone
(804) 323-1401
Fax
(804) 323-1878
NPI assigned
Jun 1, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0102204553 VA
Rheumatology Physician 207RR0500X 0102204553 VA Primary

Addresses

Primary practice location

1401 Johnston Willis Dr Ste 1200
North Chesterfield, VA 23235-4730

Mailing address

1401 Johnston Willis Dr Ste 1200
North Chesterfield, VA 23235-4730
Phone (804) 323-1401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170816000002 VA Practitioner - RheumatologyPractitioner - Osteopathic Manipulative Medicine 8426299884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Osteopathic Manipulative Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arthritis Specialists, LTD.Group PAC ID 8729179064, 5 clinicians

Practice addresses (Care Compare)

1051 Johnston Willis Dr
Suite 120
North Chesterfield, VA 23235-4817
Phone 8043231401309

1401 Johnston Willis Dr
North Chesterfield, VA 23235-4730

8201 Atlee Rd
B
Mechanicsville, VA 23116-1815
Phone (804) 730-5222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.33 of 100Reported as individual
Quality
36.67
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis Specialists, LTD. Rheumatology CurrentSince Aug 15, 2017 Accepting new patients

Locations

8201 Atlee Rd
Ste B
Mechanicsvlle, VA 23116
Phone (804) 730-5222

1051 Johnston Willis Dr
#120N
North Chesterfield, VA 23235

1051 Johnston Willis Dr
Ste 120
North Chesterfield, VA 23235
Phone (804) 323-1401

1401 Johnston Willis Dr
#12
North Chesterfield, VA 23235

1401 Johnston Willis Dr
Ste 1200
North Chesterfield, VA 23235
Phone (804) 272-2702

Interoperability endpoints

  • Direct secure messaging: keith.burwell@338.securemail.mdnavigatorclinical.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215298716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 JOHNSTON WILLIS DR STE 1200",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354730",
            "telephone_number": "804-323-1401",
            "fax_number": "804-323-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 JOHNSTON WILLIS DR STE 1200",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354730",
            "telephone_number": "804-323-1401",
            "fax_number": "804-323-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURWELL",
        "first_name": "KEITH",
        "middle_name": "PEYTON RANDOLPH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102204553",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "0102204553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.