Shomarka Omar Keita, MD, DPHIL

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD18079 Issued in DC

Practice address

2700 Martin Luther King Ave SE
St. Elizabeths Hospital, DMH
Washington, DC 20032

Phone

(202) 645-1076

NPI assigned

Mar 19, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1700027844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 MARTIN LUTHER KING AV. SE",
            "address_2": "ST. ELIZABETHS HOSPITAL, DEPT. MENTAL HEALTH, HR",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20032",
            "telephone_number": "202-645-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 MARTIN LUTHER KING AVE SE",
            "address_2": "ST. ELIZABETHS HOSPITAL, DMH",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20032",
            "telephone_number": "202-645-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITA",
        "first_name": "SHOMARKA",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "MD, DPHIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "DC",
            "license": "MD18079",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0025173",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017206200",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boteh Keita
• Diminga J Keita, HHA
• Mariame Keita
• Martha Keita
• Nia Keita, RN
• Debra Joan Keith, NP
• Kathryn Keith, NP
• Keisha Nicole Keith, LGSW
• Lauren Keith
• Stephen Norbert Keith, MD, MSPH

• General Practice Physician in Washington, DC
• Providers in Washington, DC by specialty
• General Practice Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.