Individual provider Active NPI

Rachelle R. Keng, M.D.

  • Obstetrics & Gynecology Physician
  • Charlottesville, VA
National Provider Identifier
1568666568
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101256775 Issued in VA
Practice address
600 Peter Jefferson Pkwy Ste 290
Charlottesville, VA 22911-8835
Phone
(434) 977-4488
NPI assigned
Jun 13, 2007
Last updated
Apr 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 4301090239 MI
Obstetrics & Gynecology Physician 207V00000X 35.0970732 OH
Obstetrics & Gynecology Physician 207V00000X 0101256775 VA Primary

Addresses

Primary practice location

600 Peter Jefferson Pkwy Ste 290
Charlottesville, VA 22911-8835

Mailing address

600 Peter Jefferson Pkwy Ste 290
Charlottesville, VA 22911-8835
Phone (434) 977-4488

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
I20141001001499 VA Practitioner - Obstetrics/Gynecology 3375704612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Human Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson OB GYN LTDGroup PAC ID 1355381724, 11 clinicians

Practice addresses (Care Compare)

600 Peter Jefferson Pkwy
Suite 290
Charlottesville, VA 22911-8835
Phone (434) 977-4488

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.0970732OHMDObstetrics & Gynecology Physician
4301090239MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson OB GYN LTD Obstetrics & Gynecology CurrentSince Jun 1, 2017 Accepting new patients
Virginia Skin, LLC PastSince Sep 1, 2023 Accepting new patients
Jefferson OB GYN LTD PastSince Jun 15, 2021 Accepting new patients

Locations

600 Peter Jefferson Pkwy
Ste 290
Charlottesvle, VA 22911
Phone (434) 977-4091

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00421

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1568666568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PETER JEFFERSON PKWY STE 290",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118835",
            "telephone_number": "434-977-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PETER JEFFERSON PKWY STE 290",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118835",
            "telephone_number": "434-977-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENG",
        "first_name": "RACHELLE",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301090239",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.0970732",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101256775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.