Active NPI
Daniel Edward Keim, M.D.
- Pediatric Infectious Diseases Physician
- Fairfax, VA
National Provider Identifier
1588752398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- 0101033509
- Practice address
- 2720 Prosperity Ave Ste D
Fairfax, VA 22031-4360 - Phone
- (703) 226-2280
- Fax
- (703) 752-1713
- NPI assigned
- Oct 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Infectious Diseases Physician | 2080P0208X | 0101033509 | VA | Primary |
Addresses
Primary practice location
2720 Prosperity Ave Ste D
Fairfax, VA 22031-4360
Mailing address
2720 Prosperity Ave Ste D
Fairfax, VA 22031-4360
Phone (703) 226-2280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006739792 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Specialists of Virginia, LLC | Current | Accepting new patients |
Locations
3023 Hamaker Ct
Ste 400
Fairfax, VA 22031
Phone (571) 226-8380
Interoperability endpoints
- dkeim25471@soc.inova.org
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390953600000",
"number": "1588752398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 PROSPERITY AVE STE D",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314360",
"telephone_number": "703-226-2280",
"fax_number": "703-752-1713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 PROSPERITY AVE STE D",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314360",
"telephone_number": "703-226-2280",
"fax_number": "703-752-1713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEIM",
"first_name": "DANIEL",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2014-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "VA",
"license": "0101033509",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006739792",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.