KEITH A HAIRSTON (M.D.) – Anesthesiology Physician, NPI 1164423968

KEITH A HAIRSTON (M.D.) is a healthcare provider. based in Reisterstown, Maryland. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. D0054662 (MD). The NPI Number for KEITH A HAIRSTON (M.D.) is 1164423968

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
KEITH A HAIRSTON (M.D.)
NPI
1164423968
Phone
(301) 838-9606
Address
12312 HIGH STAKES DR
Enumeration Date
3 August 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Secondary Phone
4103374877
Graduation Year
1995 (31 years ago)
PAC ID
8820005184
Group Practice PAC ID
4880846179
Professional Enrollment ID
I20060314000673
Address ID
MD212047700TO7601XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,398 ANESTHESIOLOGY in MD

Provider Addresses for KEITH A HAIRSTON (M.D.)

  • 12312, High Stakes Drive, The Estates at The Fields of Sagamore, Reisterstown, Baltimore County, Maryland, 21136, United States

    REISTERSTOWN, MD 211365772

    Phone: (301) 838-9606

    Type: Mailing

  • 14820 PHYSICIANS LN

    242

    ROCKVILLE, MD 208503945

    Phone: (301) 838-9606

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-03-14

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
I20060310000257IAnesthesiologyDCTBD
I20060314000673IAnesthesiologyMDTBD

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 21136)

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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: 4880846179View full group profile
NameSpecialtyState
Infectious DiseaseGA
Internal MedicineMD
Physician AssistantNJ
Cardiac ElectrophysiologyIN
Nurse PractitionerMD
Certified Nurse Midwife (Cnm), Nurse PractitionerMD
-MD
-MD
A N E S T H E S I O L O G YMD
-MD

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Frequently asked questions

What unique ID ties claims to KEITH A HAIRSTON (M.D.)?
NPI 1164423968 is assigned to KEITH A HAIRSTON (M.D.) under the national enumeration system.
Is KEITH A HAIRSTON (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does KEITH A HAIRSTON (M.D.) treat or focus on?
Patients typically see KEITH A HAIRSTON (M.D.) under the specialty Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place KEITH A HAIRSTON (M.D.)?
The snapshot lists Reisterstown, Maryland for KEITH A HAIRSTON (M.D.); download NPPES for the complete set.
Is KEITH A HAIRSTON (M.D.) a real provider?
This page reflects official NPPES data for NPI 1164423968. Always confirm identity and privileges with the practice and licensing boards.

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