DR. KEITH ANDREW THATCH (MD) – Pediatric Surgery Physician, NPI 1053577742
Pediatric Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
935 GENERAL SURGERY in VA
Provider Addresses for DR. KEITH ANDREW THATCH (MD)
1000 E Broad St
Richmond, VA 232191930
Phone: (804) 828-3500
Fax: (804) 628-4501
Type: Location
16230 Summerlin Rd Ste 215
Fort Myers, FL 339085769
Phone: (239) 343-6050
Fax: (239) 343-9909
Type: Location
306, 5th Street South, Downtown, Saint Petersburg, Pinellas County, Florida, 33701, United States
ST PETERSBURG, FL 337014804
Phone: (727) 767-3439
Fax: (727) 767-4346
Type: Mailing
305 E Jefferson St
Boise, ID 837126231
Phone: (208) 381-7370
Type: Location
1072 N Liberty St Ste 200
Boise, ID 837048963
Phone: (208) 302-4600
Fax: (208) 302-4655
Type: Location
190 E BANNOCK ST
BOISE, ID 837126241
Phone: (208) 381-8749
Fax: (239) 343-9909
Type: Mailing
305 E JEFFERSON ST
BOISE, ID 837126231
Phone: (208) 381-7370
Type: Location
601 5TH ST S
ST PETERSBURG, FL 337014804
Phone: (727) 767-4170
Type: Mailing
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 $225.
Total Amount is formed as General ($225) + Research ($0) + Ownership ($0) = $225.
Last reported payment date: 2024-05-02 • Largest payer in this snapshot: Baxter Healthcare ($115).
Total Amount
$225
General + Research + Ownership
Payments
2
Total payment records
General Amount
$225
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Baxter Healthcare | $115 |
| KARL STORZ Endoscopy-America | $110 |
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: 2024-07-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200317002720 | I | General Surgery | FL | TBD |
| I20211207002025 | I | General Surgery | ID | TBD |
| I20240726003682 | I | General Surgery | VA | TBD |
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.
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 23219)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Pulmonary Disease | FL | |
| H O S P I T A L I S T | FL | |
| H O S P I T A L I S T | FL | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | FL | |
| Cardiovascular Disease (Cardiology) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| A N E S T H E S I O L O G Y | LA | |
| Pediatric Medicine | NY |
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.