Individual provider Active NPI

Lawrence E. Keller, MD

  • Family Medicine Physician
  • Orange, VA
National Provider Identifier
1861556466
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
010133458 Issued in VA
Practice address
13198 James Madison Hwy
Orange, VA 22960-2808
Phone
(540) 672-3010
Fax
(540) 672-5713
NPI assigned
Dec 20, 2006
Last updated
Apr 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101033458 VA
Family Medicine Physician 207Q00000X 010133458 VA Primary

Addresses

Primary practice location

13198 James Madison Hwy
Orange, VA 22960-2808

Mailing address

13198 James Madison Hwy
Orange, VA 22960-2851
Phone (540) 672-3010

Other practice location 1

2503 S Seminole Trl
Madison, VA 22727-2690
Phone (540) 672-3010

Other identifiers 1

IdentifierTypeStateIssuer
005624711MedicaidVA

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
I20101208000910 VA Practitioner - Family Practice 6305033903 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101033458VAMDSpecialist
010133458VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Family Medicine CurrentSince Nov 30, 2022 Accepting new patients
Anchor Healthcare, PLC Family Medicine CurrentSince Nov 8, 1996 Accepting new patients
Anchor Healthcare, PLC Family Medicine CurrentSince Nov 8, 1996 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 30, 2022 Accepting new patients

Locations

2503 S Seminole Trl
Madison, VA 22727
Phone (540) 672-3010

8644 Sudley Rd
#220
Manassas, VA 20110

13198 James Madison Hwy
Orange, VA 22960
Phone (540) 672-3010

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1861556466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13198 JAMES MADISON HWY",
            "city": "ORANGE",
            "state": "VA",
            "postal_code": "229602851",
            "telephone_number": "540-672-3010",
            "fax_number": "540-672-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13198 JAMES MADISON HWY",
            "city": "ORANGE",
            "state": "VA",
            "postal_code": "229602808",
            "telephone_number": "540-672-3010",
            "fax_number": "540-672-5713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2503 S Seminole Trl",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "VA",
            "postal_code": "227272690",
            "country_code": "US",
            "telephone_number": "540-672-3010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "LAWRENCE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101033458",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "010133458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005624711",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, VA

Sources for this page

Verify at the official NPI Registry.