KEITH ERIC GIPSON (M.D., PH.D.) – Anesthesiology Physician, NPI 1124279831

KEITH ERIC GIPSON (M.D., PH.D.) is a healthcare provider. based in East hartford, Connecticut. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D., PH.D.. They hold a License No. 50552 (CT). The NPI Number for KEITH ERIC GIPSON (M.D., PH.D.) is 1124279831

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
KEITH ERIC GIPSON (M.D., PH.D.)
NPI
1124279831
Phone
(860) 282-4133
Address
99 E RIVER DR
Enumeration Date
1 October 2008
Last Update Date
12 November 2019

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8005853000
Graduation Year
2008 (18 years ago)
PAC ID
5395909733
Group Practice PAC ID
2163763830
Professional Enrollment ID
I20120614000349
Address ID
CT060105161BR41XXXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

863 ANESTHESIOLOGY in CT

Loading map...

Provider Addresses for KEITH ERIC GIPSON (M.D., PH.D.)

  • Information Technology Unit, 99, East River Drive, East Hartford, Hartford County, Connecticut, 06108, United States

    5TH FLOOR

    EAST HARTFORD, CT 061083288

    Phone: (860) 282-4133

    Fax: (860) 289-0746

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2023-05-01 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($37).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$37
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120614000349IAnesthesiologyCTTBD
I20181019001913IAnesthesiologyMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06108)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163763830View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCT
A N E S T H E S I O L O G YNY
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)DC

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference KEITH ERIC GIPSON (M.D., PH.D.)?
For KEITH ERIC GIPSON (M.D., PH.D.), use NPI 1124279831 as the unique 10-digit identifier.
Would KEITH ERIC GIPSON (M.D., PH.D.) appear as active to a payer?
You can treat KEITH ERIC GIPSON (M.D., PH.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with KEITH ERIC GIPSON (M.D., PH.D.)?
KEITH ERIC GIPSON (M.D., PH.D.)'s record emphasizes Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KEITH ERIC GIPSON (M.D., PH.D.)?
Travel planning: use East Hartford, Connecticut as the reference point for KEITH ERIC GIPSON (M.D., PH.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

DINO GEORGE ZACHARAKOS (MD)

Anesthesiology Physician
Urgent Care, 2, Trap Falls Road, Fairchild Heights Trailer Park, Shelton, Fairfield County, Connecticut, 06484-6216, United States
NPI: 1831192723

NANCY J WEINSTEIN (M.D.)

Anesthesiology Physician
111 FOUNDERS PLZ
NPI: 1083612451

WILLIAM B. AHN (M.D.)

Anesthesiology Physician
Information Technology Unit, 99, East River Drive, East Hartford, Hartford County, Connecticut, 06108, United States
NPI: 1568460418

WILLIAM JAMES CERUZZI (M.D.)

Anesthesiology Physician
Information Technology Unit, 99, East River Drive, East Hartford, Hartford County, Connecticut, 06108, United States
NPI: 1144229808

JOHN F TIERNAN (M.D.)

Anesthesiology Physician
111 FOUNDERS PLZ
NPI: 1124027701

LEONARD EDWARD KULICKI (M.D.)

Anesthesiology Physician
111 FOUNDERS PLZ
NPI: 1114926078

WON HAE JU (M.D.)

Anesthesiology Physician
111 FOUNDERS PLZ
NPI: 1629078282

MR. ROBERT KEITH MILLER (M.D.)

Anesthesiology Physician
111 FOUNDERS PLZ
NPI: 1508866823

DR. LEROY W JR. KRUMPERMAN (M.D.)

Anesthesiology Physician
111 FOUNDERS PLZ
NPI: 1659372126