Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keith W Van Dusen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316574791

Keith W Van Dusen is an Anesthesiology in Boston, Massachusetts. Graduated from Duke University School of Medicine in 2020, 6 years ago. Practices with Duke Health Integrated Practice Inc, a 3,094-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
6
Trained at
Duke University School of Medicine
Licensed in
MA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 726-3030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • M148 Davison Building Trent Drive, Durham, NC 27710-0001 — (919) 681-2924

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 1019177 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1316574791
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 25, 2020
Last updated in NPPESJune 23, 2024
Certification dateJune 23, 2024
Mailing addressM148 Davison Building Trent Drive, Durham, NC 27710-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Duke Health Integrated Practice Inc — 3094 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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