Active NPI
Michael J Keller, M.D.
- Pulmonary Disease Physician
- Lake Forest, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 036123136
- Practice address
- 1000 N Westmoreland Rd # Level1
Lake Forest, IL 60045-1658 - Phone
- (847) 535-7647
- Fax
- (847) 535-7151
- NPI assigned
- Aug 21, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036123136 | IL | |
| Pulmonary Disease Physician | 207RP1001X | 036123136 | IL | Primary |
Addresses
Primary practice location
1000 N Westmoreland Rd # Level1
Lake Forest, IL 60045-1658
Mailing address
1269 N Wolcott Ave Apt 2R
Chicago, IL 60622-3895
Phone (319) 400-1305
Other practice location 1
800 Biesterfield Rd
Suite 510
Elk Grove Village, IL 60007-3361
Phone (847) 981-3660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036134102 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sublung@380.direct.myezyaccess.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 N Westmoreland Rd
Pavillion B 3Rd FL
Lake Forest, IL 60045-1659
Phone (847) 535-8500
1000 Westmoreland Rd
Lake Forest, IL 60045-1659
Phone (847) 234-5600
1200 N Westmoreland Rd
Suite 100
Lake Forest, IL 60045-1601
Phone (847) 735-8500
1475 E Belvidere Rd
Grayslake, IL 60030-2012
233 S Gary Ave
Bloomingdale, IL 60108-2213
Phone (630) 358-4414
235 S Gary Ave
Suite 100
Bloomingdale, IL 60108-2213
Phone (630) 893-9600
2701 Patriot Blvd
Glenview, IL 60026-8039
Phone (847) 998-9910
350 S Waukegan
Suite 150
Deerfield, IL 60015-5239
Phone (312) 926-3107
350 S Waukegan Rd
Deerfield, IL 60015-5239
Phone (312) 926-6146
4309 W Medical Ctr Dr
Suite A201
McHenry, IL 60050-8411
Phone (815) 759-8070
515 Valley View Dr
Suite 201
Moline, IL 61265-6175
Phone (312) 695-0870
600 N Westmoreland Rd
Suite 1100
Lake Forest, IL 60045-1659
Phone (847) 535-9510
6155 Grand Ave
Gurnee, IL 60031-1651
660 N Westmoreland Rd
Lake Forest, IL 60045-1659
Phone (847) 234-5600
660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146
675 N Saint Clair St
Chicago, IL 60611-5975
675 N St Clair
Chicago, IL 60611-5975
800 N W Moreland Rd
Suite 102
Lake Forest, IL 60045-1687
Phone (847) 582-2104
800 N Westmoreland Rd
Suite 201
Lake Forest, IL 60045-1687
Phone (847) 535-7647
870 N Milwaukee Ave
Vernon Hills, IL 60061-1521
Hospital & facility affiliations
- Northwestern Lake Forest Hospital
- Northwestern Memorial Hospital
- Northwest Community Hospital 1
- Northwestern Medicine Central Dupage Hospital
- Northwestern Medicine McHenry
- Marianjoy Rehabilitation Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Alexian Brothers Medical Care Group NFP | Critical Care Medicine | Past | Accepting new patients |
| Central Dupage Physician Group | Past | Accepting new patients |
Locations
Carol Stream, IL 60122
Phone (630) 933-3300
Dept 5777
Carol Stream, IL 60122
1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521
2701 Patriot Blvd
Glenview, IL 60026
Phone (847) 724-4536
1475 E Belvidere Rd
Ste 185
Grayslake, IL 60030
Phone (847) 534-3278
1475 E Belvidere Rd
Grayslake, IL 60030
Phone (847) 535-8800
1000 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6150
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
1000 N Westmoreland Rd
#1
Lake Forest, IL 60045
Phone (847) 534-3278
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Pulmonary Disease Physician
- Elk Grove Village, IL
- NPI 1518420413
Critical Care Medicine
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- Rehabilitation Hospital
- Wheaton, IL
- NPI 1083660658
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- McHenry, IL
- NPI 1982611281
-
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1578932869
-
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1770531600
-
- General Acute Care Hospital
- Lake Forest, IL
- NPI 1124025176
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497859649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1013164086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1269 N WOLCOTT AVE APT 2R",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606223895",
"telephone_number": "319-400-1305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N WESTMORELAND RD # LEVEL1",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600451658",
"telephone_number": "847-535-7647",
"fax_number": "847-535-7151"
}
],
"practiceLocations": [
{
"address_1": "800 Biesterfield Rd",
"address_2": "Suite 510",
"address_purpose": "LOCATION",
"city": "Elk Grove Village",
"state": "IL",
"postal_code": "600073361",
"country_code": "US",
"telephone_number": "847-981-3660",
"fax_number": "847-956-5108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLER",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-21",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IL",
"license": "036123136",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036123136",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036134102",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sublung@380.direct.myezyaccess.com",
"affiliation": "N",
"address_1": "800 Biesterfield Rd",
"address_2": "Suite 510",
"city": "Elk Grove Village",
"state": "IL",
"country_code": "US",
"postal_code": "600073361",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lake Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.