Individual provider Active NPI

Keith Newby Sr., M.D.

  • Cardiovascular Disease Physician
  • Norfolk, VA
National Provider Identifier
1609809623
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101051954 Issued in VA
Practice address
930 W 21St St FL 2
Norfolk, VA 23517-1516
Phone
(757) 624-1785
Fax
(757) 624-1759
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 0101051954 VA
Cardiovascular Disease Physician 207RC0000X 0101051954 VA Primary

Addresses

Primary practice location

930 W 21St St FL 2
Norfolk, VA 23517-1516

Mailing address

PO Box 639971
Cincinnati, OH 45263-9971

Other identifiers 2

IdentifierTypeStateIssuer
VAA103567OtherINDIVIDUAL PTAN
005825229MedicaidVA

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
I20100917000138 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear Medicine 9234199118 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Nuclear Medicine
Education
Eastern Virginia Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Medical Group Hampton Roads Specialty Care LLCGroup PAC ID 3173955671, 197 clinicians

Practice addresses (Care Compare)

1030 Hillpoint Blvd N
Suffolk, VA 23434-8470
Phone (757) 539-0444

150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673

301 Goode Way
Suite 102
Portsmouth, VA 23704-2266
Phone (757) 399-2639

3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2222

5818 Harbour View Blvd
Suffolk, VA 23435-3315

5838 Harbour View Blvd
Suffolk, VA 23435-2663

930 W 21St St
Norfolk, VA 23517-1516

Hospital & facility affiliations

  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017
  • Bon Secours Harbour View Medical Center Hospital, Suffolk, VA, CCN 490148
  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120

Merit-based Incentive Payment System (MIPS)

Final score
91.7 of 100Reported as individual
Quality
79.45
Promoting interoperability
100
Improvement activities
40
Cost
83.13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardionet, LLC CurrentSince Sep 1, 2019 Accepting new patients
Fort Norfolk Plaza Medical Associates, LLC Cardiovascular Disease Current Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Dec 3, 2023 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC Cardiovascular Disease CurrentSince Dec 3, 2023 Accepting new patients
Fort Norfolk Plaza Medical Associates, LLC Cardiovascular Disease CurrentSince Aug 15, 2010 Accepting new patients
Fort Norfolk Plaza Medical Associates, LLC CurrentSince Aug 15, 2010 Accepting new patients

Locations

930 W 21st St
Fl 2
Norfolk, VA 23517
Phone (757) 624-1785

301 Riverview Ave
Ste 500
Norfolk, VA 23510
Phone (757) 233-8252

930 W 21st St
#2
Norfolk, VA 23517

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

Organizations & group practices 6

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1609809623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639971",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 W 21ST ST FL 2",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171516",
            "telephone_number": "757-624-1785",
            "fax_number": "757-624-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBY",
        "first_name": "KEITH",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "VA",
            "license": "0101051954",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101051954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "VAA103567",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005825229",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.