Active NPI
David Scott Keith, M.D.
- Family Medicine Physician
- Fuquay Varina, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2018-01482
- Practice address
- 231 N Judd Pkwy NE
Fuquay Varina, NC 27526-2694 - Phone
- (919) 235-6410
- NPI assigned
- Jun 13, 2013
- Last updated
- May 20, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2018-01482 | NC | Primary |
Addresses
Primary practice location
231 N Judd Pkwy NE
Fuquay Varina, NC 27526-2694
Mailing address
2920 Highwoods Blvd
Raleigh, NC 27604-0010
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639517568 | Medicaid | NC | |
| 19WQS | Other | NC | BCBS OF NC |
| NN31410280 | Other | NC | MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dkeith257132@directHISP.wakemed.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Legacy Healthcare Services IncCarolina Physical Therapy Associates LLC
Practice addresses (Care Compare)
231 N Judd Pkwy NE
Fuquay Varina, NC 27526-2694
Phone (919) 235-6410
2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600
721 Tilghman Dr
Suite 100
Dunn, NC 28334-6066
Phone (910) 892-5635
Hospital & facility affiliations
- Wakemed Home Health
- Bayada Home Health Care, Inc.
- Well Care Home Health of the Southern Triangle, Inc.
- Wakemed, Raleigh Campus
- Wakemed, Cary Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N/A | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Specialty Physicians LLC | Current | Accepting new patients | |
| Wake Specialty Physicians, LLC | Family Medicine | Current | Accepting new patients |
| Wake Specialty Physicians | Current | Accepting new patients |
Locations
231 N Judd Pkwy NE
Fuquay Varina, NC 27526
Phone (919) 235-6410
10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300
10000 Falls of Neuse Rd
Ste 205
Raleigh, NC 27614
Phone (919) 350-1630
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
Interoperability endpoints
- dkeith257132@directhisp.wakemed.org
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.
-
dba WSP-Raleigh Cardiology
- Cardiovascular Disease Physician
- Clayton, NC
- NPI 1942554019
-
dba WakeMed Childrens Pediatric Primary Care - Fuquay-Varina Medical Park
- Pediatrics Physician
- Fuquay Varina, NC
- NPI 1578334892
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Raleigh, NC
- NPI 1285876250
-
dba WakeMed Mental Health & Well-Being Hospital WakeBrook
- Psychiatric Hospital Unit
- Raleigh, NC
- NPI 1780446302
-
- Home Health Agency
- Holly Springs, NC
- NPI 1508418005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653004800000",
"number": "1639517568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 HIGHWOODS BLVD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276040010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 N JUDD PKWY NE",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275262694",
"telephone_number": "919-235-6410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEITH",
"first_name": "DAVID",
"middle_name": "SCOTT",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-13",
"last_updated": "2022-05-20",
"certification_date": "2022-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2018-01482",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1639517568",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "19WQS",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "NN31410280",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dkeith257132@directHISP.wakemed.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "XML",
"address_1": "231 N Judd Pkwy NE",
"city": "Fuquay Varina",
"state": "NC",
"country_code": "US",
"postal_code": "275262694",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.