Active NPI
Robby L Keith, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- South Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 21698
- Practice address
- 4619 Kanawha Avenue, SE
South Charleston, WV 25309 - Phone
- (304) 400-4545
- Fax
- (304) 400-4546
- NPI assigned
- Jun 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 21698 | WV | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 21698 | WV | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 21698 | WV | Primary |
Addresses
Primary practice location
4619 Kanawha Avenue, SE
South Charleston, WV 25309
Mailing address
4619 Kanawha Avenue, SE
South Charleston, WV 25309
Phone (304) 400-4545
Other practice location 1
4605 MacCorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 766-3600
Other practice location 2
3200 MacCorkle Ave SE
Charleston, WV 25304-1297
Phone (304) 388-5432
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810004628 | Medicaid | WV |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051115000176 | WV | Practitioner - Internal Medicine | 6305865858 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- West Virginia University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital Development Co.
Practice addresses (Care Compare)
200 Hospital Dr
Spencer, WV 25276-1050
Phone (304) 927-4444
4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800
4619 Kanawha Ave SW
South Charleston, WV 25309-1319
Phone (304) 400-4545
Hospital & facility affiliations
- Thomas Memorial Hospital
- Charleston Area Medical Center
- Jackson General Hospital
- Roane General Hospital
- Princeton Community Hospital Assn Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40773 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| THS Physician Partners Inc | Internal Medicine | Current | Accepting new patients |
| Hospital Development Co | Current | Accepting new patients | |
| Pulmonary Associates of Char LLC | Pulmonary Disease | Current | Accepting new patients |
| Hospital Development Co | Current | Accepting new patients | |
| Charleston Area Medical Center, Inc. | Current | Accepting new patients | |
| Hospital Development Co | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Current | Accepting new patients | |
| Hospital Development Co | Internal Medicine | Current | Accepting new patients |
| Hospital Development Co | Current | Accepting new patients | |
| Inpatient Consultants of Tennessee, P.C. | Internal Medicine | Past | Accepting new patients |
| Herbert J. Thomas Memorial Hospital Association | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
L3539
Columbus, OH 43260
Phone (304) 414-4800
3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
4607 Maccorkle Ave SW
Ste 401
South Charleston, WV 25309
Phone (304) 414-2120
4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800
4619 Kanawha Ave SW
South Charleston, WV 25309
Phone (304) 400-4545
200 Hospital Dr
Spencer, WV 25276
Phone (304) 927-4444
Interoperability endpoints
- rlkeith@pac.gwaydirect.com
- rkeith358742@direct.wvuhsdirect.com
Organizations & group practices 12
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.
-
- Internal Medicine Physician
- South Charleston, WV
- NPI 1871866806
Internal Medicine, WV
-
- Pulmonary Disease Physician
- South Charleston, WV
- NPI 1114124799
Pulmonary Disease, WV
-
- Rural Health Clinic/Center
- Arnoldsburg, WV
- NPI 1053059881
-
- Ambulance
- Spencer, WV
- NPI 1710697040
-
- Multi-Specialty Clinic/Center
- Belpre, OH
- NPI 1588422547
-
- General Acute Care Hospital
- South Charleston, WV
- NPI 1316925506
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Hospitalist Physician
- Johnson City, TN
- NPI 1497704050
Internal Medicine
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Charleston, WV
- NPI 1639168693
Hospital
-
- General Acute Care Hospital
- Fayetteville, WV
- NPI 1932055589
Hospital
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1952390239
Hospital
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
Hospital
-
- Community/Retail Pharmacy
- Charleston, WV
- NPI 1134518186
Hospital
-
- General Acute Care Hospital
- Fayetteville, WV
- NPI 1174479513
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581984000000",
"number": "1497781082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4619 KANAWHA AVENUE, SE",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "25309",
"telephone_number": "304-400-4545",
"fax_number": "304-400-4546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4619 KANAWHA AVENUE, SE",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "25309",
"telephone_number": "304-400-4545",
"fax_number": "304-400-4546"
}
],
"practiceLocations": [
{
"address_1": "4605 MacCorkle Ave SW",
"address_purpose": "LOCATION",
"city": "South Charleston",
"state": "WV",
"postal_code": "253091311",
"country_code": "US",
"telephone_number": "304-766-3600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3200 MacCorkle Ave SE",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253041297",
"country_code": "US",
"telephone_number": "304-388-5432",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEITH",
"first_name": "ROBBY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WV",
"license": "21698",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "WV",
"license": "21698",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "WV",
"license": "21698",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810004628",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.