Individual provider Active NPI

Keisha L Burfoot, M.D.

  • Obstetrics & Gynecology Physician
  • Norfolk, VA
National Provider Identifier
1821008632
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101227544 Issued in VA
Practice address
5280 Henneman Dr
Norfolk, VA 23513-2503
Phone
(757) 395-4455
Fax
(757) 233-1795
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101227544 VA Primary

Addresses

Primary practice location

5280 Henneman Dr
Norfolk, VA 23513-2503

Mailing address

5280 Henneman Dr
Norfolk, VA 23513-2503
Phone (757) 395-4455

Other identifiers 1

IdentifierTypeStateIssuer
00620059MedicaidVA

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
I20050926001218 VA Practitioner - Obstetrics/Gynecology 9931133147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Hahnemann University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Women'S CareGroup PAC ID 2860551553, 3 clinicians

Practice addresses (Care Compare)

5280 Henneman Dr
Norfolk, VA 23513-2503
Phone 7573954455310

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101227544VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Women'S Care CurrentSince Nov 1, 2008 Accepting new patients
Margie Corney, MD PC Obstetrics & Gynecology PastSince Mar 8, 2012 Accepting new patients
Diane LH Coltrin, MD PC Past Accepting new patients

Locations

6161 Kempsville Cir
Ste 340
Norfolk, VA 23502
Phone (757) 227-8675

5280 Henneman Dr
Ste 340
Norfolk, VA 23513

5280 Henneman Dr
Norfolk, VA 23513
Phone (757) 395-4455

Interoperability endpoints

  • Direct secure messaging: keishaburfoot@ewcva.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1821008632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5280 HENNEMAN DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235132503",
            "telephone_number": "757-395-4455",
            "fax_number": "757-233-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5280 HENNEMAN DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235132503",
            "telephone_number": "757-395-4455",
            "fax_number": "757-233-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURFOOT",
        "first_name": "KEISHA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101227544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00620059",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.