NPIMap

Individual provider Active NPI

Mark A Kleiner, MD

  • Family Medicine Physician
  • Forest, VA
National Provider Identifier
1982610184
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0420010239 Issued in VT
Practice address
1175 Corporate Park Dr
Forest, VA 24551-2238
Phone
(434) 525-6964
Fax
(434) 525-4035
NPI assigned
Jul 31, 2006
Last updated
Feb 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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 0420010239 VT Primary

Addresses

Primary practice location

1175 Corporate Park Dr
Forest, VA 24551-2238

Mailing address

PO Box 2489
Forest, VA 24551-6489
Phone (434) 382-1139

Other identifiers 2

IdentifierTypeStateIssuer
010378486MedicaidVA
303830OtherANTHEM

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
I20061101000435 VA Practitioner - Family Practice 8527082635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1998
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
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

1088 London Links Dr
Forest, VA 24551-4662
Phone (434) 534-6868

1175 Corporate Park Dr
Forest, VA 24551-2238
Phone (434) 525-6964

118 Oakwood Dr
Madison Heights, VA 24572-3001

131 Jones St
Appomattox, VA 24522-9830
Phone (434) 352-8235

14005 Wards Rd
Suite a
Lynchburg, VA 24501-7127
Phone (434) 239-0132

2019 Tate Springs Rd
Lynchburg, VA 24501-1131
Phone (434) 846-7374

2215 Landover PL
Lynchburg, VA 24501-2115
Phone (434) 947-3944

2600 Compass Rd
Glenview, IL 60026-8001

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

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0420010239VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Family Medicine CurrentSince Nov 3, 2016 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 3, 2016 Accepting new patients
Nova Physician Wellness Center PLLC Family Medicine Past Accepting new patients
Central Virginia Family Physicians, Inc Family Medicine Past Accepting new patients

Locations

1175 Corporate Park Dr
Forest, VA 24551
Phone (434) 525-6221

2019 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 845-7035

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mark.kleiner.1@8042.direct.athenahealth.com

Organizations & group practices 5

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1982610184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2489",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245516489",
            "telephone_number": "434-382-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 CORPORATE PARK DR",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512238",
            "telephone_number": "434-525-6964",
            "fax_number": "434-525-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINER",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "0420010239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010378486",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "303830",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, VA

Sources for this page

Verify at the official NPI Registry.