Individual provider Active NPI

Mark H Keck, CRNA

  • Certified Registered Nurse Anesthetist
  • Houston, TX
National Provider Identifier
1811454580
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP140859 Issued in TX
Practice address
1500 Citywest Blvd Ste 300
Houston, TX 77042-2549
Phone
(713) 620-4000
NPI assigned
Feb 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 824099 TX
Certified Registered Nurse Anesthetist 367500000X AP140859 TX Primary

Addresses

Primary practice location

1500 Citywest Blvd Ste 300
Houston, TX 77042-2549

Mailing address

PO Box 840853
Dallas, TX 75284-0853
Phone (972) 233-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190508001568 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557603784 Reassigns benefits to 5 organizations
I20220813000114 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557603784 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Practice addresses (Care Compare)

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 461-8231

850 W Central Texas Expy
Seton Medical Center Harker Heights
Harker Heights, TX 76548-1890
Phone (254) 690-0900

Hospital & facility affiliations

  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
824099TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell Anesthesia Group, PLLC CurrentSince Sep 18, 2020 Accepting new patients
Sunshine State Anesthesia Partners LLC CurrentSince May 7, 2022 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Feb 6, 2025 Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Compass Anesthesia Providers PLLC CurrentSince Sep 15, 2020 Accepting new patients
Texans Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2019 Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2024 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered CurrentSince Apr 5, 2019 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Feb 6, 2025 Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2024 Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince Apr 5, 2019 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 3, 2022 Accepting new patients

Locations (25 of 27)

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

890 Medical Park Dr
Clermont, FL 34711
Phone (352) 241-7142

2040 Oakley Seaver Dr
Ste 100
Clermont, FL 34711
Phone (352) 536-8865

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

21298 Olean Blvd
Pt Charlotte, FL 33952
Phone (941) 624-7032

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

4201 Garth Rd
Ste 212
Baytown, TX 77521
Phone (281) 420-9355

1500 Citywest Blvd
Ste 300
Houston, TX 77042
Phone (713) 458-4185

510 W Tidwell Rd
Houston, TX 77091
Phone (281) 618-8500

1438 Campbell Rd
Ste 104
Houston, TX 77055
Phone (713) 464-1650

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

1475 FM 1960 Bypass Rd E
Humble, TX 77338
Phone (281) 369-9001

850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

1211 Highway 6
Ste 70
Sugar Land, TX 77478
Phone (281) 238-3902

1211 Highway 6
Sugar Land, TX 77478
Phone (281) 238-3900

Organizations & group practices 12

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1811454580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840853",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840853",
            "telephone_number": "972-233-1999",
            "fax_number": "972-233-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CITYWEST BLVD STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422549",
            "telephone_number": "713-620-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KECK",
        "first_name": "MARK",
        "middle_name": "H",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-28",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "824099",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP140859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.