KEENART TIO – Certified Registered Nurse Anesthetist, NPI 1063035673

KEENART TIO is a healthcare provider. based in Portsmouth, Virginia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 0024179463 (VA). The NPI Number for KEENART TIO is 1063035673

Main info

Male
Sole Proprietor
6 Years Of Experience
Name
KEENART TIO
NPI
1063035673
Phone
Not provided
Address
620 JOHN PAUL JONES CIR
Enumeration Date
19 May 2020
Last Update Date
5 October 2024

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
6786907826
Graduation Year
2020 (6 years ago)
PAC ID
3577971910
Group Practice PAC ID
1951722362
Professional Enrollment ID
I20210423000094
Address ID
VA231885713WI100XXCIRX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,883 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in VA

Provider Addresses for KEENART TIO

  • 620 JOHN PAUL JONES CIR

    PORTSMOUTH, VA 237082111

    Phone:

    Mailing address matches the actual address.

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: 2025-06-09

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
I20210423000094ICertified Registered Nurse Anesthetist (Crna)VATBD
I20250609001684ICertified Registered Nurse Anesthetist (Crna)NCTBD

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 23708)

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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: 1951722362View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)TN
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)CA
A N E S T H E S I O L O G YSUFFOLK
A N E S T H E S I O L O G YVA
A N E S T H E S I O L O G YVA
A N E S T H E S I O L O G YIA
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

Can I use this page to confirm KEENART TIO's NPI?
Yes. KEENART TIO is listed with NPI 1063035673 in the public NPI dataset.
Can I rely on KEENART TIO being an active provider?
As of the registry snapshot, KEENART TIO is marked active.
What is KEENART TIO best known for clinically?
Directory data describes KEENART TIO with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for KEENART TIO?
KEENART TIO's geographic hint is Portsmouth, Virginia in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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