NPIMap

Individual provider Active NPI

Keith M Roberts, M.D.

  • Obstetrics & Gynecology Physician
  • Richmond, VA
National Provider Identifier
1487652145
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101056303 Issued in VA
Practice address
1250 E Marshall St
Richmond, VA 23298-5023
Phone
(804) 828-4409
Fax
(804) 806-7588
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101056303 VA Primary

Addresses

Primary practice location

1250 E Marshall St
Richmond, VA 23298-5023

Mailing address

PO Box 780125
Philadelphia, PA 19178-0125
Phone (804) 922-4844

Other practice location 1

439 Jennick Dr
Colonial Heights, VA 23834-4901
Phone (804) 765-5206

Other practice location 2

1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Phone (434) 584-5567

Other identifiers 1

IdentifierTypeStateIssuer
6208797MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090318000431 VA Practitioner - Obstetrics/Gynecology 9931266921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Virginia Commonwealth University, School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Medical Group Richmond Specialty Care LLCGroup PAC ID 8022440056, 350 clinicians

Practice addresses (Care Compare)

1510 N 28TH St
Richmond, VA 23223-5311

300 A Temple Lake Dr
Suite 4
Colonial Heights, VA 23834-2972
Phone (804) 765-5206

3335 S Crater Rd
Suite 700
Petersburg, VA 23805-9214
Phone (804) 732-6000

40 Medical Park Blvd
Petersburg, VA 23805-9289

Hospital & facility affiliations

  • Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067
  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136
  • John Randolph Medical Center Hospital, Hopewell, VA, CCN 490020
  • Bon Secours Southern Virginia Medical Center Hospital, Emporia, VA, CCN 490097
  • Community Memorial Hospital Hospital, South Hill, VA, CCN 490098

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Virginia, LLC Obstetrics & Gynecology CurrentSince Aug 30, 2023 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC Obstetrics & Gynecology CurrentSince Jan 1, 2020 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 1, 2020 Accepting new patients
MCV Associated Physicians Obstetrics & Gynecology PastSince Sep 28, 2021 Accepting new patients

Locations

300A Temple Lake Dr
Ste 4
Colonial Heights, VA 23834
Phone (804) 320-4967

439 Jennick Dr
Colonial Hgts, VA 23834
Phone (804) 504-7937

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

210 Medical Park Blvd
Ste 150
Petersburg, VA 23805
Phone (804) 765-5206

40 Medical Park Blvd
Ste B
Petersburg, VA 23805
Phone (804) 520-6730

200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462

Interoperability endpoints

  • Direct secure messaging: kroberts1155117@direct.bsmhealth.org

Organizations & group practices 4

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1487652145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780125",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780125",
            "telephone_number": "804-922-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E MARSHALL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985023",
            "telephone_number": "804-828-4409",
            "fax_number": "804-806-7588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "439 Jennick Dr",
            "address_purpose": "LOCATION",
            "city": "Colonial Heights",
            "state": "VA",
            "postal_code": "238344901",
            "country_code": "US",
            "telephone_number": "804-765-5206",
            "fax_number": "804-765-5809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1755 N Mecklenburg Ave",
            "address_purpose": "LOCATION",
            "city": "South Hill",
            "state": "VA",
            "postal_code": "239704080",
            "country_code": "US",
            "telephone_number": "434-584-5567",
            "fax_number": "434-584-5545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KEITH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101056303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6208797",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.