1. Home
  2. Directory
  3. Florida
  4. St Petersburg
  5. Surgery
  6. NPI Profile

DR. KEITH ANDREW THATCH MD
NPI 1053577742
Surgery - Pediatric Surgery in St Petersburg, FL

Active since August 01, 2008PECOS Enrolled
601 5TH ST S STE 306, ST PETERSBURG, FL 33701(727) 767-3439(727) 767-4346 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 20, 2024, Jul 31, 2024, Oct 11, 2022 and 4 more (7 updates tracked since 2018).

About Dr. Keith Andrew Thatch Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEITH ANDREW THATCH MD (NPI 1053577742) is an individual pediatric surgery provider in St Petersburg, Florida, licensed in Florida (ME134648) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1053577742
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameDR. KEITH ANDREW THATCHCredential: MD
Location Address601 5TH ST S STE 306St Petersburg, FL 33701-4804
Mailing Address601 5th St SSt Petersburg, FL 33701-4804 · (727) 767-4170
Phone(727) 767-3439
Fax(727) 767-4346
Sole ProprietorNo
Enumeration DateAugust 1, 2008
Last NPPES UpdateAugust 20, 20247 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1053577742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Licenses✔ Licensed in FL · ME134648✔ Licensed in ID · M-15720✔ Licensed in VA · 0101280591
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
601 5TH ST S STE 306, St Petersburg, FL 33701
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11000 E Broad StRichmond, VA 23219-1930 · Phone (804) 828-3500 · Fax (804) 628-4501
Location 216230 Summerlin Rd Ste 215Fort Myers, FL 33908-5769 · Phone (239) 343-6050 · Fax (239) 343-9909
Location 3305 E Jefferson StBoise, ID 83712-6231 · Phone (208) 381-7370
Location 41072 N Liberty St Ste 200Boise, ID 83704-8963 · Phone (208) 302-4600 · Fax (208) 302-4655

Other Identifiers 1

Medicaid023296400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Keith Andrew Thatch Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Keith Thatch reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Physician Services, Inc.
1.0 mi
Pediatrics
501 6TH AVE S
St Petersburg, FL 33701
  • Reassigned Medicare billing, Florida enrollment
  • 360 clinicians in this Medicare group
NPI 1770532798 (727) 898-7451
Lee Health System Inc
97 mi
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,899 clinicians in this Medicare group
NPI 1942058557 (239) 424-1500
The Nemours Foundation
183 mi
Multi-Specialty
10140 CENTURION PKWY N, THE NEMOURS FOUNDATION
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 703 clinicians in this Medicare group
NPI 1386658615 (904) 697-5628
Mcv Associated Physicians
739 mi
Anesthesiology
1250 E MARSHALL ST, MAIN 1-214, BOX 980510
Richmond, VA 23298
  • Reassigned Medicare billing, Virginia enrollment
  • 2,481 clinicians in this Medicare group
NPI 1710959457 (804) 828-8707
Bon Secours Medical Group Richmond Specialty Care LLC
745 mi
Cardiovascular Disease
8580 MAGELLAN PKWY
Richmond, VA 23227
  • Reassigned Medicare billing, Virginia enrollment
  • 581 clinicians in this Medicare group
NPI 1477112225 (804) 627-5573

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFANI D FIVECOAT ARNP
Nurse Practitioner (Pediatrics)
601 5TH ST S STE 306
ST PETERSBURG, FL 33701
Pinellas County (727) 767-4170
STEPHANIE SCHREYER ARNP
Nurse Practitioner (Pediatrics)
601 5TH ST S STE 306
ST PETERSBURG, FL 33701
Pinellas County (727) 767-4170
CHARLES J SMITHERS M.D.
Surgery
601 5TH ST S STE 306
ST PETERSBURG, FL 33701
Pinellas County (727) 767-4170
DR. RAQUEL GONZALEZ MD
Surgery (Surgical Critical Care)
601 5TH ST S STE 306
ST PETERSBURG, FL 33701
Pinellas County (727) 767-4170
VIVIAN A BUCHANAN PA-C
Physician Assistant (Surgical)
601 5TH ST S STE 306
ST PETERSBURG, FL 33701
Pinellas County (727) 767-4170
DR. STEPHEN ALEXANDER ROTTGERS M.D.
Plastic Surgery
601 5TH ST S STE 306
ST PETERSBURG, FL 33701
Pinellas County (727) 767-4920
RACHAEL EILEEN PELAEZ ARNP
Nurse Practitioner (Pediatrics)
601 5TH ST S STE 306
ST PETERSBURG, FL 33701
Pinellas County (727) 767-4170

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Thatch's NPI number?

The NPI number for Keith Thatch is 1053577742. It was assigned to this individual provider in the NPPES registry on August 1, 2008.

Where is Keith Thatch located?

Keith Thatch practices at 601 5th St S Ste 306, St Petersburg, FL 33701. The listed phone number is (727) 767-3439.

What is Keith Thatch's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Keith Thatch enrolled in Medicare?

Yes. Keith Thatch is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Keith Thatch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Thatch reassigns Medicare benefits to 5 organizations: Pediatric Physician Services, Inc. (St Petersburg, FL), Lee Health System Inc (Fort Myers, FL), The Nemours Foundation (Jacksonville, FL), Mcv Associated Physicians (Richmond, VA) and Bon Secours Medical Group Richmond Specialty Care LLC (Richmond, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keith Thatch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keith Thatch accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health list Keith Thatch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keith Thatch was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.