KEITH LATHROP (CRNA) – Certified Registered Nurse Anesthetist, NPI 1659420628

KEITH LATHROP (CRNA) is a healthcare provider. based in Woodbridge, Virginia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 0024173719 (VA). The NPI Number for KEITH LATHROP (CRNA) is 1659420628

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
KEITH LATHROP (CRNA)
NPI
1659420628
Phone
(703) 580-0181
Address
14010 Smoketown Rd Ste 117
Enumeration Date
9 January 2007
Last Update Date
3 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7035800181
Graduation Year
2016 (10 years ago)
PAC ID
7517210842
Group Practice PAC ID
8820462765
Professional Enrollment ID
I20210809001492
Address ID
VA221924723WO14010RDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

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

Provider Addresses for KEITH LATHROP (CRNA)

  • 14010 Smoketown Rd Ste 117

    Woodbridge, VA 221924723

    Phone: (703) 580-0181

    Fax: (703) 897-8763

    Type: Location

  • 9500 S DADELAND BLVD STE 200

    MIAMI, FL 331562866

    Phone: (786) 530-3820

    Type: Mailing

  • Center for the Intrepid, 3551, Roger Brooke Drive, San Antonio, Bexar County, Texas, 78234, United States

    SAN ANTONIO, TX 782344504

    Phone:

    Type: Mailing

  • 14904 RICHMOND HWY STE 104

    WOODBRIDGE, VA 221913908

    Phone: (703) 497-4222

    Fax: (703) 492-0164

    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: 2023-10-23

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181102000320ICertified Registered Nurse Anesthetist (Crna)TXTBD
I20210809001492ICertified Registered Nurse Anesthetist (Crna)VATBD
I20231023002321ICertified Registered Nurse Anesthetist (Crna)DCTBD

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 22192)

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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: 8820462765View full group profile
NameSpecialtyState
Interventional Pain Management, AnesthesiologyVA
A N E S T H E S I O L O G YVA
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MD
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)VA
A N E S T H E S I O L O G YVA
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)VA

Reviews

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Frequently asked questions

How is KEITH LATHROP (CRNA) identified in CMS data?
CMS-hosted NPPES data lists KEITH LATHROP (CRNA) with NPI 1659420628.
Can I rely on KEITH LATHROP (CRNA) being an active provider?
As of the registry snapshot, KEITH LATHROP (CRNA) is marked active.
What healthcare role does KEITH LATHROP (CRNA) hold?
Scheduling teams often label KEITH LATHROP (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where should I expect KEITH LATHROP (CRNA) on a map?
Expect Woodbridge, Virginia as a primary anchor for KEITH LATHROP (CRNA) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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