LISA KEITHLEY MD LLC
NPI 1063280758
Family Medicine in Elkridge, MD
About Lisa Keithley Md Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA KEITHLEY MD LLC (NPI 1063280758) is a healthcare organization registered as a family medicine in Elkridge, Maryland and active in the NPI registry since December 2023. The organization lists Lisa Keithley, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lisa Keithley Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lisa Keithley MD LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Lisa Keithley MD LLC's NPI number?
The NPI number for Lisa Keithley MD LLC is 1063280758. It was assigned to this organization in the NPPES registry on December 13, 2023.
Where is Lisa Keithley MD LLC located?
Lisa Keithley MD LLC is located at 8186 Lark Brown Rd Ste 203, Elkridge, MD 21075. The listed phone number is (410) 799-8931.
What is Lisa Keithley MD LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Lisa Keithley MD LLC enrolled in Medicare?
Yes. Lisa Keithley MD LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lisa Keithley MD LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Lisa Keithley MD LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lisa Keithley MD LLC was last updated on January 11, 2024. 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.
# Lisa Keithley Md Llc · NPI 1063280758
Family Medicine organization in Elkridge, Maryland. Organization record, active in the CMS NPPES registry since December 13, 2023.
## Identity
- **NPI:** 1063280758 (Entity type: Organization)
- **Enumerated:** December 13, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Lisa Keithley, OWNER
## Practice location
- **Address:** 8186 LARK BROWN RD STE 203, Elkridge, MD 21075-6434
- **Phone:** (410) 799-8931
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 11, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1063280758) · Data from the CMS NPPES public registry.