Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619045028 Individual Practitioner Male Practitioner

Dr. Keith B Boykin , MD

Pediatrics • Manassas, VA

Professional Overview & Biography Verified Profile Summary

Dr. Keith Boykin, MD is a registered healthcare professional specializing in Pediatrics in Manassas, VA. Practice services are available at 10701 ROSEMARY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10701 Rosemary Dr

Manassas, VA 201097282

Telephone 7032573001
Fax 7032573057
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Manassas, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
40 Specialists

Practicing in Manassas, VA (2079 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License VA 0101043500

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MD D0072534

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License DC MD039283

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. David Smith , MD

Family Medicine

NPI 1235294406

Doctor of Medicine (M.D.)

Dr. Akinwunmi Abisogun , MD

Obstetrics & Gynecology

NPI 1245308659

Doctor of Medicine (M.D.)

NPI 1497747364

Doctor of Medicine (M.D.)

Theophiline Ebiasah

Registered Nurse - Lactation Consultant

NPI 1679089361
Ann Komelasky , CRNP

Nurse Practitioner

NPI 1720156128

Certified Registered Nurse Practitioner

Dr. Evelyn Ruelaz , MD

Obstetrics & Gynecology

NPI 1730226218

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 23, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 23, 2011

Registered at 10701 ROSEMARY DR, MANASSAS, VA 201097282 (Tel: 7032573001)

📍
Updated Business Mailing Address November 23, 2011

Registered at KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP, 2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNIT 6 W, ROCKVILLE, MD 208524908 (Tel: 3018166660)

👤
Provider Name / Credentials Updated November 23, 2011

Recorded as KEITH BOYKIN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2011

Pediatrics (License #0101043500 in VA)

🟢
Initial NPI Registration & Enumeration December 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619045028
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2006
Last Update: November 23, 2011
Sole Proprietor: No

Mailing Address

Kaiser Permanente Mid Atlantic Permanente Medical Group, 2101 E Jefferson St Ppqa Medicare Compliance Unit 6 W

Rockville, MD 208524908

Phone: 3018166660

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.