NPIMap

Individual provider Active NPI

Keith Zaitoun, MD

  • Nephrology Physician
  • Portsmouth, VA
National Provider Identifier
1679567820
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101039811 Issued in VA
Practice address
3235 Academy Ave
Suite 301
Portsmouth, VA 23703-3200
Phone
(757) 484-9400
Fax
(757) 484-8809
NPI assigned
Sep 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101039811 VA Primary

Addresses

Primary practice location

3235 Academy Ave
Suite 301
Portsmouth, VA 23703-3200

Mailing address

3235 Academy Ave
Suite 301
Portsmouth, VA 23703-3200
Phone (757) 484-9400

Other identifiers 3

IdentifierTypeStateIssuer
058150OtherVAANTHEM BCBS
390002387OtherMCARE RAILROAD
6078354MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100917000404 VA Practitioner - NephrologyPractitioner - Internal Medicine 7911924691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Virginia School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portsmouth Nephrology PCGroup PAC ID 7810039724, 4 clinicians

Practice addresses (Care Compare)

3235 Academy Ave
Suite 301
Portsmouth, VA 23703-3200
Phone (757) 484-9400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.87 of 100Reported as individual
Quality
75.71
Promoting interoperability
100
Improvement activities
40
Cost
83.86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Portsmouth Nephrology PC Nephrology CurrentSince Jul 27, 1988 Accepting new patients
Rai Care Centers of Virginia I, LLC PastSince Nov 11, 2010 Accepting new patients

Locations

3235 Academy Ave
Ste 301
Portsmouth, VA 23703
Phone (757) 484-9400

Interoperability endpoints

  • Direct secure messaging: kzaitoun16717@direct.acumenmd.com

Organizations & group practices 2

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1679567820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 ACADEMY AVE",
            "address_2": "SUITE 301",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033200",
            "telephone_number": "757-484-9400",
            "fax_number": "757-484-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 ACADEMY AVE",
            "address_2": "SUITE 301",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033200",
            "telephone_number": "757-484-9400",
            "fax_number": "757-484-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAITOUN",
        "first_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101039811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "058150",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE RAILROAD",
            "identifier": "390002387",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6078354",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.