Individual provider Active NPI

Ami Keatts, M.D.

  • Obstetrics & Gynecology Physician
  • Fishersville, VA
National Provider Identifier
1639260391
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101057978 Issued in VA
Practice address
39 Beam LN
Fishersville, VA 22939-2348
Phone
(540) 213-7750
Fax
(540) 213-7755
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101057978 VA Primary

Addresses

Primary practice location

39 Beam LN
Fishersville, VA 22939-2348

Mailing address

PO Box 388
Fishersville, VA 22939-0388
Phone (540) 213-7750

Other identifiers 1

IdentifierTypeStateIssuer
10023204OtherVAOPTIMA HEALTH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ami.keatts.1@14718.direct.athenahealth.co

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
I20050810000438 VA Practitioner - Obstetrics/Gynecology 2567491558 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Eastern Virginia Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

Practice addresses (Care Compare)

39 Beam LN
Fishersville, VA 22939-2348
Phone (540) 213-7750

Hospital & facility affiliations

  • Augusta Health Hospital, Fishersville, VA, CCN 490018

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101057978VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Medical Group CurrentSince Dec 1, 2023 Accepting new patients
Augusta Medical Group CurrentSince Dec 1, 2023 Accepting new patients
Bath County Community Hospital CurrentSince Sep 1, 2020 Accepting new patients

Locations

540 Radford Ln
Ste 250
Charlottesville, VA 22903
Phone (434) 823-7596

322 W Riverside St
Covington, VA 24426
Phone (540) 962-1122

713 S Monroe Ave
Covington, VA 24426
Phone (540) 962-1122

9 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 245-7350

39 Beam Ln
Fishersville, VA 22939
Phone (540) 213-7750

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

240 Lucy Dr
Harrisonburg, VA 22801
Phone (540) 433-1041

644 University Blvd
Harrisonburg, VA 22801
Phone (540) 564-5100

110 Houston St
Ste C
Lexington, VA 24450
Phone (540) 463-7751

30 Greenhouse Rd
Lexington, VA 24450
Phone (540) 464-3465

432 Church St
Millboro, VA 24460
Phone (540) 962-5049

Interoperability endpoints

  • Direct secure messaging: ami.keatts.1@14718.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4

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 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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1639260391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229390388",
            "telephone_number": "540-213-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 BEAM LN",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392348",
            "telephone_number": "540-213-7750",
            "fax_number": "540-213-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATTS",
        "first_name": "AMI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101057978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA HEALTH",
            "identifier": "10023204",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ami.keatts.1@14718.direct.athenahealth.co",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "address_1": "39 Beam Ln",
            "city": "Fishersville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229392348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishersville, VA

Sources for this page

Verify at the official NPI Registry.