Individual provider Active NPI

Keith Peart

  • Certified Registered Nurse Anesthetist
  • Palm Beach Gardens, FL
National Provider Identifier
1053785535
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9312265 Issued in FL
Practice address
3360 Burns Road
Palm Beach Gardens, FL 33410
Phone
(561) 622-1411
NPI assigned
Nov 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP9312265 FL Primary

Addresses

Primary practice location

3360 Burns Road
Palm Beach Gardens, FL 33410

Mailing address

20673 NE 10TH Path
Miami, FL 33179
Phone (786) 285-4009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160518002283 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486943115 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galloway Anesthesia Associates LLCGroup PAC ID 0143402917, 94 clinicians
Gi Alliance Anesthesia of Florida PLLCGroup PAC ID 3476927203, 11 clinicians

Practice addresses (Care Compare)

3001 Coral Springs Dr
Coral Springs, FL 33065-3829
Phone (954) 837-1201

5645 S Military TRL
Lake Worth, FL 33463-6978
Phone (833) 964-1135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP9312265FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Galloway Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince May 15, 2021 Accepting new patients
St. Lucie Anesthesia Associates, LLC CurrentSince Jul 1, 2021 Accepting new patients
PBG Team Anesthesia PA Nurse Anesthetist, Certified Registered CurrentSince Apr 27, 2016 Accepting new patients
Gi Alliance Anesthesia of Florida, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2023 Accepting new patients
St Lucie Anesthesia Associates LLC CurrentSince Jul 1, 2021 Accepting new patients
Galloway Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince May 15, 2021 Accepting new patients

Locations

7152 Coca Sabal Ln
Fort Myers, FL 33908
Phone (239) 939-9939

3995 NW Goldenrod Rd
Jensen Beach, FL 34957
Phone (772) 497-0020

5645 S Military Trl
Lake Worth, FL 33463
Phone (561) 689-4500

515 W State Road 434
Ste 105
Longwood, FL 32750
Phone (407) 260-6000

9415 SW 72nd St
Ste 274
Miami, FL 33173
Phone (305) 468-4184

7600 SW 87th Ave
Ste 100
Miami, FL 33173
Phone (786) 235-3750

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

3602 Kyoto Gardens Dr
West Palm Beach, FL 33410
Phone (561) 799-2288

1117 N Olive Ave
Ste 201
West Palm Beach, FL 33401
Phone (561) 327-7492

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1053785535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20673 NE 10TH PATH",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33179",
            "telephone_number": "786-285-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 BURNS ROAD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-622-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEART",
        "first_name": "KEITH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-20",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9312265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.