Individual provider Active NPI

Keith Alan Metzler, MD

  • Family Medicine Physician
  • Lynchburg, VA
National Provider Identifier
1275510919
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101041318 Issued in VA
Practice address
2321 Wards Rd
Lynchburg, VA 24502-2101
Phone
(434) 582-2273
Fax
(434) 582-1363
NPI assigned
Dec 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101041318 VA Primary

Addresses

Primary practice location

2321 Wards Rd
Lynchburg, VA 24502-2101

Mailing address

2321 Wards Rd
Lynchburg, VA 24502-2101
Phone (434) 582-2273

Other identifiers 3

IdentifierTypeStateIssuer
010319510MedicaidVA
P00308691OtherMEDICARE RAILROAD PROVIDER NUMBER
298370OtherANTHEM

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
I20060125000710 VA Practitioner - Family Practice 9234153594 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101041318VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Family Medicine CurrentSince Jan 10, 2017 Accepting new patients
Privia Medical Group, LLC CurrentSince Jan 10, 2017 Accepting new patients
Physicians Treatment Center Inc Family Medicine PastSince Aug 1, 1993 Accepting new patients
A G Jefferson Inc Past Accepting new patients

Locations

2137 Lakeside Dr
Lynchburg, VA 24501
Phone (434) 385-4184

2321 Wards Rd
Lynchburg, VA 24502
Phone (434) 582-2273

2832 Candlers Mountain Rd
Lynchburg, VA 24502
Phone (434) 239-3949

2019 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 845-7035

14005 Wards Rd
Lynchburg, VA 24501
Phone (434) 239-0132

2137 Lakeside Dr
Ste 100
Lynchburg, VA 24501
Phone (434) 385-4184

8644 Sudley Rd
#220
Manassas, VA 20110

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1275510919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 WARDS RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022101",
            "telephone_number": "434-582-2273",
            "fax_number": "434-582-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 WARDS RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022101",
            "telephone_number": "434-582-2273",
            "fax_number": "434-582-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZLER",
        "first_name": "KEITH",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101041318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010319510",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PROVIDER NUMBER",
            "identifier": "P00308691",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "298370",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.