Keith P Berkle, MD
Individual provider Active NPI Gynecology Physician · Mechanicsville, VA
NPI 1346457553 · NPPES record last updated Apr 30, 2024
Key facts
- NPI
- 1346457553
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gynecology Physician 207VG0400X
- License
- 0101243930 (VA)
- Practice address
- 8364 Bell Creek Road
Mechanicsville, VA 23116-3818 - Phone
- (804) 288-4084
- Fax
- (804) 559-2046
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Virginia Commonwealth University, School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Privia Medical Group, LLC
Practice addresses (Care Compare)
12129 Graham Meadows Dr
Richmond, VA 23233-6661
Phone (804) 288-4084
13801 St Francis Blvd
Suite 100
Midlothian, VA 23114-3206
Phone (804) 288-4084
6600 W Broad St
Suite 100
Richmond, VA 23230-1709
Phone (804) 288-4087
7515 Right Flank Rd
Mechanicsville, VA 23116-3818
Phone (804) 288-4084
8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845
Hospital & facility affiliations
- Bon Secours Memorial Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080729000175 | VA | Practitioner - Obstetrics/Gynecology | 4385718147 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101243930 | VA | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Virginia Womens Center Inc | Current |
Accepting new patients | |
| Privia Medical Group, LLC | Current |
Accepting new patients | |
| Nova Physician Wellness Center PLLC | Past | Accepting new patients | |
| Summit Health Care Inc | Past | Accepting new patients | |
| Summit Health Care, Inc. | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011
930 South Ave
Ste 2
Colonial Hgts, VA 23834
Phone (804) 520-8272
8644 Sudley Rd
#220
Manassas, VA 20110
8364 Bell Creek Rd
Mechanicsville, VA 23116
7515 Right Flank Rd
Mechanicsville, VA 23116
Phone (804) 662-6138
13801 St Francis Blvd
Ste 100
Midlothian, VA 23114
Phone (804) 288-4081
7130 Glen Forest Dr
Ste 101
Richmond, VA 23226
12129 Graham Meadows Dr
Richmond, VA 23233
1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500
5875 Bremo Rd
Ste 400
Richmond, VA 23226
Phone (804) 287-3550
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- keith.berkle.1@8042.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 0101243930 | VA | Yes |
Addresses
Primary practice location
8364 Bell Creek Road
Mechanicsville, VA 23116-3818
Mailing address
7130 Glen Forest Dr
Suite 101
Richmond, VA 23226-3754
Phone (804) 662-6138
Other practice location 1
12129 Graham Meadows Dr
Richmond, VA 23233-6661
Phone (804) 288-4084
Other practice location 2
13801 St Francis Blvd Ste 100
Midlothian, VA 23114-3206
Phone (804) 288-4084
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346457553 | Medicaid | VA |
Other providers in Mechanicsville, VA
- Anna Bender
- Mark Bender
- Julia Bennett
- Benson Family Therapy LLC
- Laurie Benton
- Bernadette C. Winters, PHD., LCSW
- Jared Berquist
- April Berry
- Jennifer Bertram
- William Burke Best
All providers in Mechanicsville, VA · Gynecology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.