Active NPI
Melvin N Keim, M.D.
- Family Medicine Physician
- Fishersville, VA
National Provider Identifier
1972575462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101019290
- Practice address
- 53 S Medical Park Dr
Fishersville, VA 22939-2333 - Phone
- (540) 932-5668
- Fax
- (540) 932-5688
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101019290 | VA | Primary |
Addresses
Primary practice location
53 S Medical Park Dr
Fishersville, VA 22939-2333
Mailing address
53 S Medical Park Dr
Fishersville, VA 22939-2333
Phone (540) 932-5668
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10972 | Other | VA | CIGNA |
| 71987 | Other | VA | SOUTHERN HEALTH |
| 284220 | Other | VA | ANTHEM |
| 5640008 | Other | VA | VA PREMIER |
| 21983 | Other | VA | OPTIMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101019290 | VA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189209600000",
"number": "1972575462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 S MEDICAL PARK DR",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229392333",
"telephone_number": "540-932-5668",
"fax_number": "540-932-5688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 S MEDICAL PARK DR",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229392333",
"telephone_number": "540-932-5668",
"fax_number": "540-932-5688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEIM",
"first_name": "MELVIN",
"middle_name": "N",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2007-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101019290",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "10972",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "71987",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "284220",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA PREMIER",
"identifier": "5640008",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "21983",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fishersville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.