Keith Larson, PA-C
NPI 1912027772 · Surgical Physician Assistant · Detroit, MI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Keith Larson, PA-C is a Surgical Physician Assistant provider in Detroit, MI (NPI 1912027772).
Provider details
- NPI number
- 1912027772
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 5601002740 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2007-07-08
Frequently asked questions
- What is Keith Larson's NPI number?
- Keith Larson's National Provider Identifier (NPI) is 1912027772, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keith Larson's specialty?
- Keith Larson is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Keith Larson located?
- Keith Larson's practice location on file with NPPES is 3901 Beaubien St, Detroit, MI 48201-2119.
- What is Keith Larson's phone number?
- The practice phone number listed in the NPPES registry for Keith Larson is (313) 745-5437.
- Does Keith Larson accept Medicare?
- Keith Larson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Keith Larson's NPI active?
- Yes — Keith Larson's NPI (1912027772) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.