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DR. KEITH HENRY PENSKA M.D.
NPI 1053513176
Psychiatry & Neurology - Child & Adolescent Psychiatry in Fort Belvoir, VA

Active since June 01, 2007PECOS Enrolled
ALEXANDER T. AUGUSTA MILITARY MEDICAL CENTER, 9300 DEWITT LOOP, FORT BELVOIR, VA 22060(571) 231-0401(571) 231-6751 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2023, May 19, 2022 (2 updates tracked since 2022).

About Dr. Keith Henry Penska M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEITH HENRY PENSKA M.D. (NPI 1053513176) is an individual child & adolescent psychiatry provider in Fort Belvoir, Virginia, licensed in Virginia (0101242211) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053513176
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. KEITH HENRY PENSKACredential: M.D.
Location AddressALEXANDER T. AUGUSTA MILITARY MEDICAL CENTER, 9300 DEWITT LOOPFort Belvoir, VA 22060-5285
Mailing AddressFort Belvoir Community Hospital, 9300 Dewitt LoopFort Belvoir, VA 22060-5285 · (571) 231-0401 · Fax (571) 231-6751
Phone(571) 231-0401
Fax(571) 231-6751
Sole ProprietorNo
Enumeration DateJune 1, 2007
Last NPPES UpdateAugust 14, 20232 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
✔ NPI 1053513176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in VA · 0101242211
Definition
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.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 0101242211 (VA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
ALEXANDER T. AUGUSTA MILITARY MEDICAL CENTER, Fort Belvoir, VA 22060
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Keith Henry Penska M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. NAOMI MARIE FLOWERS LCSW-C
Social Worker (Clinical)
ALEXANDER T. AUGUSTA MILITARY MEDICAL CENTER, 9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-3224
DARIUS WATKINS
Physical Therapy Assistant
ALEXANDER T. AUGUSTA MILITARY MEDICAL CENTER, 9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-3292
PAYAL MEHTA JOSEPH LCSW
Social Worker (Clinical)
ALEXANDER T. AUGUSTA MILITARY MEDICAL CENTER, 9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (267) 407-5100
DR. MARY V. KRUEGER D.O.
Family Medicine
ALEXANDER T. AUGUSTA MILITARY MEDICAL CENTER, 9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-3224
KARLA KRASNOSELSKY DPT
Physical Therapist
ALEXANDER T. AUGUSTA MILITARY MEDICAL CENTER, 9300 DEWITT LOOP
FT. BELVOIR, VA 22060
Fairfax County (571) 231-2198
PALLAVI LAXMI SAMUDRALA MD
General Practice
ALEXANDER T. AUGUSTA MILITARY MEDICAL CENTER, 9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-1803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Penska's NPI number?

The NPI number for Keith Penska is 1053513176. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Where is Keith Penska located?

Keith Penska practices at Alexander T. Augusta Military Medical Center 9300 Dewitt Loop, Fort Belvoir, VA 22060. The listed phone number is (571) 231-0401.

What is Keith Penska's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Keith Penska enrolled in Medicare?

Yes. Keith Penska is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keith Penska was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.