Keith Thatch, MD
NPI 1053577742 · Pediatric Surgery Physician · St Petersburg, FL
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Keith Thatch, MD is a Pediatric Surgery Physician provider in St Petersburg, FL (NPI 1053577742).
Provider details
- NPI number
- 1053577742
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M-15720 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
17 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
5 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$225 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (4)
- 16230 Summerlin Rd Ste 215Fort Myers, FL 33908-5769Phone: (239) 343-6050Fax: (239) 343-9909
- 1072 N Liberty St Ste 200Boise, ID 83704-8963Phone: (208) 302-4600Fax: (208) 302-4655
- 305 E Jefferson StBoise, ID 83712-6231Phone: (208) 381-7370
- 1000 E Broad StRichmond, VA 23219-1930Phone: (804) 828-3500Fax: (804) 628-4501
Registry dates
- Enumerated
- 2008-08-01
- Last updated
- 2024-08-20
- Certified
- 2024-08-20
Frequently asked questions
- What is Keith Thatch's NPI number?
- Keith Thatch's National Provider Identifier (NPI) is 1053577742, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keith Thatch's specialty?
- Keith Thatch is listed in the NPPES registry with a primary specialty of Pediatric Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Keith Thatch located?
- Keith Thatch's practice location on file with NPPES is 601 5th St S Ste 306, St Petersburg, FL 33701-4804.
- What is Keith Thatch's phone number?
- The practice phone number listed in the NPPES registry for Keith Thatch is (727) 767-3439.
- Does Keith Thatch accept Medicare?
- Keith Thatch is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Keith Thatch's NPI active?
- Yes — Keith Thatch's NPI (1053577742) is active in the NPPES registry as of the last update on 2024-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.