Provider Type Icon

DR. KEITH HENRY PENSKA M.D. NPI 1053513176


NPI Information

NPI: 1053513176
Provider Name: DR. KEITH HENRY PENSKA, M.D.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
ALEXANDER T. AUGUSTA MILITARY MEDICAL CENTER
9300 DEWITT LOOP
FORT BELVOIR, VA
ZIP 22060
Phone: (571) 231-0401
Get Directions

DR. Keith Henry Penska, M.D. is a child and adolescent psychiatry psychiatry neurology in Fort Belvoir, VA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Keith Henry Penska, M.D. NPI is 1053513176. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

ALEXANDER T. AUGUSTA MILITARY MEDICAL CENTER
9300 DEWITT LOOP
FORT BELVOIR, VA
ZIP 22060-285
Phone: (571) 231-0401
Fax: (571) 231-6751

The NPI 1053513176 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/1/2007 and was last updated on 8/14/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatry0101242211VIRGINIANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
32084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry0101242211VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.