NPIMap

Individual provider Active NPI

Keith Alexander Espiritu, M.D.

  • Family Medicine Physician
  • Chesapeake, VA
National Provider Identifier
1770749897
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0116019111 Issued in VA
Practice address
213 River Walk Pkwy Ste 101
Chesapeake, VA 23320-6893
Phone
(757) 983-1777
Fax
(757) 507-9043
NPI assigned
Jul 29, 2008
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116019111 VA Primary

Addresses

Primary practice location

213 River Walk Pkwy Ste 101
Chesapeake, VA 23320-6893

Mailing address

213 River Walk Pkwy Ste 101
Chesapeake, VA 23320-6893
Phone (757) 983-1777

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
I20101018001117 VA Practitioner - Family Practice 5991998395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

1933 Edwin Dr
Chesapeake, VA 23322-6531

213 River Walk Pkwy
Chesapeake, VA 23320-6893
Phone (757) 983-1765

830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860

850 Kempsville Rd
Norfolk, VA 23502-3920

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116019111VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Family Medicine CurrentSince Dec 4, 2012 Accepting new patients
Primary Care of West End LLC Family Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Primary Health Group Inc Family Medicine PastSince Aug 1, 1996 Accepting new patients
Primary Health Group Inc Family Medicine Past Accepting new patients
Sentara Medical Group Family Medicine PastSince Jul 21, 2024 Accepting new patients

Locations

213 River Walk Pkwy
Ste 101
Chesapeake, VA 23320
Phone (757) 382-5245

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Interoperability endpoints

  • Direct secure messaging: kespiritu69296@direct.sentara.net

Organizations & group practices 6

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.

Hospital & facility affiliations 9

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": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1770749897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 RIVER WALK PKWY STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233206893",
            "telephone_number": "757-983-1777",
            "fax_number": "757-507-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 RIVER WALK PKWY STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233206893",
            "telephone_number": "757-983-1777",
            "fax_number": "757-507-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPIRITU",
        "first_name": "KEITH",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116019111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.