NPIMap

Individual provider Active NPI

Tatiana Borisovna Keck, MD

  • Rheumatology Physician
  • Norfolk, VA
National Provider Identifier
1528245347
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
101255588 Issued in VA
Practice address
844 Kempsville Rd Ste 103B
Norfolk, VA 23502-3927
Phone
(757) 261-0200
NPI assigned
Jan 23, 2008
Reactivated
Jul 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 0101255588 VA
Rheumatology Physician 207RR0500X 101255588 VA Primary
Internal Medicine Physician 207R00000X 51231 WI

Addresses

Primary practice location

844 Kempsville Rd Ste 103B
Norfolk, VA 23502-3927

Mailing address

933 First Colonial Rd Ste 100
Virginia Beach, VA 23454-3172
Phone (757) 491-7359

Other practice location 1

933 First Colonial Rd Ste 100
Virginia Beach, VA 23454-3172
Phone (757) 491-7359

Other names 1

  • Tatiana Borisovna Molyako Former name

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
I20141022000694 VA Practitioner - RheumatologyPractitioner - Internal Medicine 6800941733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arthritis Consultants of TidewaterGroup PAC ID 6103860143, 5 clinicians

Practice addresses (Care Compare)

933 1St Colonial Rd
Suite 100
Virginia Beach, VA 23454-3172
Phone (757) 491-7359

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.19 of 100Reported as group
Quality
92.77
Improvement activities
40
Cost
83.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101255588VAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis Consultants of Tidewater Rheumatology CurrentSince Sep 1, 2014 Accepting new patients
Faculty Physicians of Internal Medicine, S.C. Internal Medicine Past Accepting new patients
Aurora Health Care Metro, Inc. Past Accepting new patients

Locations

933 First Colonial Rd
Ste 100
Virginia Beach, VA 23454
Phone (757) 409-0648

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: tatiana.keck.p1@direct.act.nextgenshare.com

Organizations & group practices 3

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 6

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": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1528245347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 FIRST COLONIAL RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543172",
            "telephone_number": "757-491-7359",
            "fax_number": "757-491-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 KEMPSVILLE RD STE 103B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023927",
            "telephone_number": "757-261-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "933 First Colonial Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234543172",
            "country_code": "US",
            "telephone_number": "757-491-7359",
            "fax_number": "757-491-9359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KECK",
        "first_name": "TATIANA",
        "middle_name": "BORISOVNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "deactivation_date": "2025-06-10",
        "reactivation_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "0101255588",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "101255588",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "51231",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TATIANA",
            "last_name": "MOLYAKO",
            "middle_name": "BORISOVNA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.