KEITH B GUSTAFSON (MD) – Anesthesiology Physician, NPI 1851394795

Anesthesiology Physician

KEITH B GUSTAFSON (MD) is a healthcare provider. based in Norfolk, Virginia. specializing in Anesthesiology Physician. They hold the professional credentials MD. They hold a License No. 0101233342 (VA). The NPI Number for KEITH B GUSTAFSON (MD) is 1851394795

Main info

Male

38 Years Of Experience

Accepts Medicare Assignment

Name

KEITH B GUSTAFSON (MD)

NPI

1851394795

Phone

(757) 962-1114

Address

1349 LLEWELLYN AVE

Enumeration Date

24 May 2005

Last Update Date

8 July 2007

Doctor Profile

Medical School Name

UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE

Secondary Phone

7575070170

Graduation Year

1988 (38 years ago)

PAC ID

0042258709

Group Practice PAC ID

6305081118

Professional Enrollment ID

I20050422000158

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for KEITH B GUSTAFSON (MD)

1349, Llewellyn Avenue, Park Place, Norfolk, Virginia, 23517, United States of America
NORFOLK, VA 235172266
Phone: (757) 962-1114
Fax: (757) 962-1114
Type: Mailing
138, South Rosemont Road, Powells Corner, Virginia Beach, Virginia, 23452, United States of America
STE 215
VIRGINIA BEACH, VA 234524336
Phone: (757) 431-9551
Fax: (757) 431-9663
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
00731	Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope	16	16	$0
00910	Anesthesia for other procedure on urinary system through urethra	11	11	$0

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Insurance plans in this area (ZIP 23517)

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Provider's Procedures

KEITH B GUSTAFSON (MD) performs procedures in Anesthesiology Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
ANESTHESIOLOGY	VA	00790	Anesthesia for procedure in upper abdomen including use of an endoscope	14	14

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: 6305081118View full group profile

Name	Specialty	State
GARY JAY WAXMAN (M.D.)	-	VA
STEVEN L CANTARUTTI (CRNA)	Certified Registered Nurse Anesthetist (Crna)	TN
ANNE DUNHAM RUDOLPH (CRNA)	Certified Registered Nurse Anesthetist (Crna)	VA
MR. JOHN DAVID WAEGERLE (CRNA-P)	Certified Registered Nurse Anesthetist (Crna)	VA
BRAD WILLIAMS	Certified Registered Nurse Anesthetist (Crna)	VA
VIKRANT VIRUPANNAVAR (M.D.)	A N E S T H E S I O L O G Y	VA
MISS CATHERINE ADELINE RAY DABROWSKI (M.D.)	A N E S T H E S I O L O G Y	TN
ROBERT ASHFORD JOHNSON (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MD
ANURAG SHUKLA (MD)	A N E S T H E S I O L O G Y	MI
ANGELA TERRELL	Certified Registered Nurse Anesthetist (Crna)	VA