NPIMap

Individual provider Active NPI

Kevin Shane Geib, MD

  • Urology Physician
  • Winchester, VA
National Provider Identifier
1871529958
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0101052888 Issued in VA
Practice address
136 Linden Dr
Suite 104
Winchester, VA 22601-2818
Phone
(540) 678-3588
Fax
(540) 678-9025
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0101052888 VA Primary

Addresses

Primary practice location

136 Linden Dr
Suite 104
Winchester, VA 22601-2818

Mailing address

148 Linden Dr
Suite 103
Winchester, VA 22601-2818
Phone (540) 722-0627

Other identifiers 1

IdentifierTypeStateIssuer
010049695MedicaidVA

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
I20040618000438 VA Practitioner - Urology 5890778500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Missouri, Kansas City, School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101052888VAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince May 4, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince May 4, 2022 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Medical Associates of Central Virginia, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3700 Joseph Siewick Dr
Ste 208
Fairfax, VA 22033
Phone (703) 208-4200

8644 Sudley Rd
#220
Manassas, VA 20110

148 Linden Dr
Ste 103
Winchester, VA 22601
Phone (540) 722-0627

Interoperability endpoints

  • Direct secure messaging: kevin.geib.1@8042.direct.athenahealth.com

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 3

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871529958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 LINDEN DR",
            "address_2": "SUITE 103",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012818",
            "telephone_number": "540-722-0627",
            "fax_number": "540-722-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 LINDEN DR",
            "address_2": "SUITE 104",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012818",
            "telephone_number": "540-678-3588",
            "fax_number": "540-678-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIB",
        "first_name": "KEVIN",
        "middle_name": "SHANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101052888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010049695",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.