Individual provider Active NPI

Theodore B McKee, D.P.M.

  • Podiatrist
  • Staunton, VA
National Provider Identifier
1306888417
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0103300877 Issued in VA
Practice address
111 Fairway LN Ste 100
Staunton, VA 24401-3576
Phone
(540) 885-8891
Fax
(540) 885-0016
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0103300877 VA Primary

Addresses

Primary practice location

111 Fairway LN Ste 100
Staunton, VA 24401-3576

Mailing address

504 Victoria Dr
Staunton, VA 24401-2147
Phone (540) 887-9815

Other identifiers 12

IdentifierTypeStateIssuer
1306888417OtherVANPI
305246OtherVAANTHEM BCBS
1336330620OtherVACIGNA MEDICARE SERVCIES
DG6187OtherVARAILROAD MEDICARE GROUP
1336330620OtherVANPI GROUP STAUNTON
C10346OtherVAMEDICARE GROUP
P00444410OtherVARAILROAD MEDICARE PIN
1336330620OtherVASOUTHERN HEALTH
1336330620OtherVAVIRGINIA PREMIER
1588847982OtherVANPI GROUP LEXINGTON
1336330620MedicaidVA
305227OtherVAANTHEM BCBS LEXINGTON

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080125000553 VA Practitioner - Podiatry 6002998358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Footcare and Surgery PLCGroup PAC ID 3779665021, 2 clinicians

Practice addresses (Care Compare)

111 Fairway LN
Suite 100
Staunton, VA 24401-3576
Phone (540) 885-8891

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue48
Removal of skin lesions21
Removal of nail tissue887
Removal or shaving of skin growth661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Footcare and Surgery PLC Podiatrist CurrentSince Oct 22, 2007 Accepting new patients
Blue Ridge Footcare and Surgery PLC Podiatrist CurrentSince Oct 22, 2007 Accepting new patients
Blue Ridge Podiatry Associates Podiatrist Past Accepting new patients

Locations

130 Walker St
Ste E
Lexington, VA 24450
Phone (540) 463-6562

111 Fairway Ln
Staunton, VA 24401

111 Fairway Ln
Ste 100
Staunton, VA 24401
Phone (540) 885-8891

Organizations & group practices 3

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 1

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1306888417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 VICTORIA DR",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244012147",
            "telephone_number": "540-887-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FAIRWAY LN STE 100",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244013576",
            "telephone_number": "540-885-8891",
            "fax_number": "540-885-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "THEODORE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103300877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1306888417",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "305246",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA MEDICARE SERVCIES",
            "identifier": "1336330620",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DG6187",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP STAUNTON",
            "identifier": "1336330620",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "C10346",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00444410",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "1336330620",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA PREMIER",
            "identifier": "1336330620",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP LEXINGTON",
            "identifier": "1588847982",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336330620",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS LEXINGTON",
            "identifier": "305227",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

Verify at the official NPI Registry.