Individual provider Active NPI

Keith A Rooker, CRNA

  • Certified Registered Nurse Anesthetist
  • Kettering, OH
National Provider Identifier
1841682499
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.17163 Issued in OH
Practice address
3533 Southern Blvd
Ste 400
Kettering, OH 45429-1264
Phone
(937) 293-8228
Fax
(937) 293-8229
NPI assigned
Feb 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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 APRN.CRNA.17163 OH Primary

Addresses

Primary practice location

3533 Southern Blvd
Ste 400
Kettering, OH 45429-1264

Mailing address

PO Box 932759
Cleveland, OH 44193-0015
Phone (937) 293-8228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150630002564 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436475357 Reassigns benefits to 4 organizations
I20260218000385 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436475357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Wright State University Boonshoft School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sandusky Anesthesia LLCGroup PAC ID 3274895271, 117 clinicians

Practice addresses (Care Compare)

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 298-4331

600 N Pickaway St
Circleville, OH 43113-1447
Phone (740) 474-2126

600 W Main St
Kettering Health Troy
Troy, OH 45373-3384
Phone (937) 980-7000

Hospital & facility affiliations

  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CRNA.17163OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of West Virginia - South Charleston CurrentSince Dec 28, 2025 Accepting new patients
Columbus Anesthesia Services LLC CurrentSince Apr 23, 2023 Accepting new patients
Sandusky Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2022 Accepting new patients
Anesthesia Group Practice, Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 20, 2015 Accepting new patients
Anesthesiology Services Network LTD CurrentSince Aug 2, 2021 Accepting new patients

Locations

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

1945 Cei Dr
Blue Ash, OH 45242

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

538 Oak St
Cincinnati, OH 45219
Phone (513) 247-0224

7810 5 Mile Rd
Ste B
Cincinnati, OH 45230
Phone (513) 977-9640

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

3125 Hamilton Mason Rd
Fairfield Township, OH 45011
Phone (513) 394-8888

3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221

5950 Innovation Dr
Middletown, OH 45005
Phone (513) 261-6200

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

10615 Montgomery Rd
Montgomery, OH 45242
Phone (513) 793-1999

10506 Montgomery Rd
Montgomery, OH 45242
Phone (513) 745-9800

122 12th St
Princeton, WV 24740
Phone (304) 487-7061

Organizations & group practices 5

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 1

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": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1841682499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932759",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930015",
            "telephone_number": "937-293-8228",
            "fax_number": "317-614-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 SOUTHERN BLVD",
            "address_2": "STE 400",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291264",
            "telephone_number": "937-293-8228",
            "fax_number": "937-293-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOKER",
        "first_name": "KEITH",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-19",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.17163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.