Individual provider Active NPI

Stephen D Keefe, MD

  • Otolaryngology Physician
  • Newport News, VA
National Provider Identifier
1700853066
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0101043485 Issued in VA
Practice address
11842 Rock Landing Dr Ste 100
Newport News, VA 23606-4437
Phone
(757) 873-0338
Fax
(866) 283-1052
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 0101043485 VA
Otolaryngology Physician 207Y00000X 0101043485 VA Primary

Addresses

Primary practice location

11842 Rock Landing Dr Ste 100
Newport News, VA 23606-4437

Mailing address

11842 Rock Landing Dr Ste 100
Newport News, VA 23606-4437
Phone (757) 873-0338

Other identifiers 2

IdentifierTypeStateIssuer
184357OtherANTHEM
P00274985OtherMEDICARE RAILROAD

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL entallergy1.com Direct

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
I20060105000754 VA Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 5698730547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology
Education
Eastern Virginia Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayview Physician Services PCGroup PAC ID 5597664201, 311 clinicians

Practice addresses (Care Compare)

4868 Bridge Rd
Suffolk, VA 23435-2048
Phone (757) 483-7113

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6446NVMDDentist
0101043485VAMDOtolaryngology Physician
6445NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Physician Services, PC CurrentSince Oct 1, 2020 Accepting new patients
Hampton Roads Otolaryngology Associates PLLC CurrentSince Feb 16, 2020 Accepting new patients
Bayview Physician Services, PC CurrentSince Oct 1, 2020 Accepting new patients
Bayview Medical Center, Inc Past Accepting new patients

Locations

3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500

3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

11842 Rock Landing Dr
Ste 100
Newport News, VA 23606
Phone (757) 873-0338

2000 Meade Pkwy
Suffolk, VA 23434
Phone (757) 539-0251

2000 Meade Pkwy
Ste 170
Suffolk, VA 23434

4868 Bridge Rd
Suffolk, VA 23435
Phone (757) 483-7113

Interoperability endpoints

  • Direct secure messaging: stephen.keefe@bayview.eclinicaldirectplus.com

Organizations & group practices 4

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 2

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1700853066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11842 ROCK LANDING DR STE 100",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064437",
            "telephone_number": "757-873-0338",
            "fax_number": "866-283-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11842 ROCK LANDING DR STE 100",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064437",
            "telephone_number": "757-873-0338",
            "fax_number": "866-283-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFE",
        "first_name": "STEPHEN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "VA",
            "license": "0101043485",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101043485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "184357",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00274985",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "entallergy1.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fax",
            "address_1": "11842 Rock Landing Dr Ste 100",
            "city": "Newport News",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236064437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.