Individual provider Active NPI

Gerald E Keightley, M.D.

  • Nephrology Physician
  • Mechanicsville, VA
National Provider Identifier
1447256482
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101047191 Issued in VA
Practice address
7501 Right Flank Rd Ste 600
Mechanicsville, VA 23116-3863
Phone
(804) 559-6980
Fax
(804) 559-6982
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101047191 VA Primary

Addresses

Primary practice location

7501 Right Flank Rd Ste 600
Mechanicsville, VA 23116-3863

Mailing address

7501 Right Flank Rd Ste 600
Mechanicsville, VA 23116-3863
Phone (804) 559-6980

Other identifiers 8

IdentifierTypeStateIssuer
59426OtherVASOUTHERN HEALTH
052647OtherVAANTHEM BLUE CROSS
202213OtherVACIGNA
31247OtherVACARENET
597421OtherVAAETNA
228371OtherVAMAMSI
6041396MedicaidVA
541497804OtherTRICARE CHAMPUS

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
I20100619000013 VA Practitioner - Nephrology 3971412644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Virginia Commonwealth University, School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Specialists PCGroup PAC ID 4880676113, 12 clinicians

Practice addresses (Care Compare)

7501 Right Flank Rd
Suite 600
Mechanicsville, VA 23116-3863
Phone (804) 559-6980

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.23 of 100Reported as individual
Quality
87.08
Promoting interoperability
100
Improvement activities
40
Cost
73.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101047191VAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Specialists PC Nephrology CurrentSince Jun 30, 1995 Accepting new patients
Milan P. Krickovic, M.D., LTD. PastSince Jun 30, 1995 Accepting new patients

Locations

8400 N Run Medical Dr
Ste 200
Mechanicsville, VA 23116
Phone (804) 559-6980

7501 Right Flank Rd
Ste 600
Mechanicsvlle, VA 23116
Phone (804) 559-2489

5320 Patterson Ave
Ste 200
Richmond, VA 23226
Phone (804) 285-3384

7605 Forest Ave
Ste 109
Richmond, VA 23229
Phone (804) 285-6390

Interoperability endpoints

  • Direct secure messaging: gerald.keightley.iii.1@20471.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20471/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 9

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1447256482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 RIGHT FLANK RD STE 600",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231163863",
            "telephone_number": "804-559-6980",
            "fax_number": "804-559-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 RIGHT FLANK RD STE 600",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231163863",
            "telephone_number": "804-559-6980",
            "fax_number": "804-559-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIGHTLEY",
        "first_name": "GERALD",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101047191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "59426",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "052647",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "202213",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARENET",
            "identifier": "31247",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "597421",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "228371",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6041396",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE CHAMPUS",
            "identifier": "541497804",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.