Keith Foos, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0102207109 Issued in VA

Practice address

1500 N Beauregard St Ste 200
Alexandria, VA 22311-1700

Phone

(352) 857-9638

NPI assigned

Apr 2, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Childrens Specialty Group PLLC

  • Pediatrics Physician
  • Norfolk, VA
  • NPI 1255354130

  Single Specialty

  Medicare reassignment NPD
• Alexandria Lake Ridge Pediatrics

  • Pediatrics Physician
  • Alexandria, VA
  • NPI 1649215955

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1487116232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N BEAUREGARD ST STE 200",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111700",
            "telephone_number": "352-857-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N BEAUREGARD ST STE 200",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111700",
            "telephone_number": "352-857-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOOS",
        "first_name": "KEITH",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0102207109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gillyan Fogle
• Maria B Foley, PSY.D.
• Ngongbo Dylan Foncha
• Leona Fontana, PA
• Robert John Fontana Jr., PA-C
• For Eyes Optical Inc
• For Eyes Optical of PA
• Greg Forbes
• Jennifer Louise Forbes, LPC
• Charmaine Ford

• Pediatrics Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.