KEITH W VAN DUSEN
NPI 1316574791
Anesthesiology in Boston, MA

Active since March 25, 2020PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: June 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2024, Mar 25, 2020 (2 updates tracked since 2020).

About Keith W Van Dusen NPPES

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

KEITH W VAN DUSEN (NPI 1316574791) is an individual anesthesiology provider in Boston, Massachusetts, licensed in Massachusetts (1019177) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and maintains a secondary practice location in Durham.

NPPES Registry Identity

NPI1316574791
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameKEITH W VAN DUSEN
Location Address55 FRUIT STBoston, MA 02114-2621
Mailing AddressM148 Davison Building Trent DriveDurham, NC 27710-0001 · (919) 681-2924
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2020
Enumeration DateMarch 25, 2020
Last NPPES UpdateJune 23, 20242 updates tracked since enumeration
NPPES CertifiedJune 23, 2024
NPI 1316574791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in MA · 1019177
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
55 FRUIT ST, Boston, MA 02114

Secondary Practice Location 1

Location 1M148 Davison Building Trent DriveDurham, NC 27710-0001 · Phone (919) 681-2924

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Keith W Van Dusen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799229894
PECOS Enrollment IDI20251007002874
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114

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 Van Dusen's NPI number?

The NPI number for Keith Van Dusen is 1316574791. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Keith Van Dusen located?

Keith Van Dusen practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-3030.

What is Keith Van Dusen's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Keith Van Dusen enrolled in Medicare?

Yes. Keith Van Dusen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Keith Van Dusen affiliated with any hospitals?

According to CMS data, Keith Van Dusen is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Keith Van Dusen was last updated on June 23, 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.