Individual provider Active NPI

Stephen Norbert Keith, MD, MSPH

  • Pediatrics Physician
  • Washington, DC
National Provider Identifier
1245423011
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
67665 Issued in GA
Practice address
811 4TH St NW
Apt. 1011
Washington, DC 20001-4902
Phone
(410) 733-6368
NPI assigned
Aug 24, 2007
Last updated
Jan 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0036014 MD
Pediatrics Physician 208000000X G37534 CA
Pediatrics Physician 208000000X 67665 GA Primary

Addresses

Primary practice location

811 4TH St NW
Apt. 1011
Washington, DC 20001-4902

Mailing address

811 4TH St NW
Apt. 1011
Washington, DC 20001-4902
Phone (410) 733-6368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050428000743 MD Practitioner - Pediatric Medicine 9638118698 Reassigns benefits to 2 organizations
I20160718000242 DC Practitioner - Pediatric Medicine 9638118698

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G37534CAMDPediatrics Physician
67665GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. Pediatrics CurrentSince Jun 1, 2016 Accepting new patients
Wellstreet of Georgia PC Current Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jun 1, 2016 Accepting new patients

Locations

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

20010 Century Blvd
Ste 200
Germantown, MD 20874

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1245423011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 4TH ST NW",
            "address_2": "APT. 1011",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200014902",
            "telephone_number": "410-733-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 4TH ST NW",
            "address_2": "APT. 1011",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200014902",
            "telephone_number": "410-733-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "STEPHEN",
        "middle_name": "NORBERT",
        "credential": "MD, MSPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-24",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0036014",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G37534",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "67665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.