Individual provider Active NPI

Keith Eric Cook, M. D.

  • Diagnostic Radiology Physician
  • Beckley, WV
National Provider Identifier
1396753844
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
29635 Issued in WV
Practice address
1710 Harper Rd
Beckley, WV 25801-3357
Phone
(304) 256-4100
NPI assigned
Aug 3, 2006
Last updated
Sep 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 29635 WV Primary
Diagnostic Radiology Physician 2085R0202X MD00041926 WA

Addresses

Primary practice location

1710 Harper Rd
Beckley, WV 25801-3357

Mailing address

PO Box 285855
FL 3
Philadelphia, PA 19182-5885

Other practice location 1

2602 Buford Rd
North Chesterfield, VA 23235-3422
Phone (804) 272-8806 ext. 321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20200422003249 WV Practitioner - Diagnostic Radiology 0648272880 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appalachian Mountains Medical LLCGroup PAC ID 6709016264, 43 clinicians
Raleigh Radiology IncGroup PAC ID 1951342153, 4 clinicians

Practice addresses (Care Compare)

1710 Harper Rd
Beckley, WV 25801-3357
Phone (304) 256-4100

454 McDowell St
Welch, WV 24801-2029
Phone (304) 436-8685

5221 US Route 60
Huntington, WV 25705-2022
Phone (304) 256-4009

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00041926WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Radiology Inc. Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Radiologic Associates of Fredericksburg LTD Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Appalachian Mountains Medical, LLC Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Pin Point Radiology Practice Group, PA Diagnostic Radiology Past Accepting new patients
Radiology Consultants of Wytheville Diagnostic Radiology Past Accepting new patients

Locations

1300 Hospital Dr
Ste 100
Fredericksburg, VA 22401
Phone (540) 741-3250

5501 Plank Rd
Ste 101
Fredericksburg, VA 22407
Phone (540) 741-3189

125 Woodstream Blvd
Ste 109
Stafford, VA 22556
Phone (540) 657-9729

105 S Eisenhower Dr
Beckley, WV 25801
Phone (304) 255-6404

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

1717 Harper Rd
Beckley, WV 25801
Phone (304) 253-1077

223 Dry Hill Rd
Beckley, WV 25801

454 McDowell St
Welch, WV 24801
Phone (304) 436-8461

Organizations & group practices 5

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 3

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1396753844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 285855",
            "address_2": "FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191825885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013357",
            "telephone_number": "304-256-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2602 Buford Rd",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232353422",
            "country_code": "US",
            "telephone_number": "804-272-8806 x321",
            "fax_number": "804-272-2909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "KEITH",
        "middle_name": "ERIC",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WV",
            "license": "29635",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00041926",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.