Individual provider Active NPI

Michael C Keller, DPM

  • Foot & Ankle Surgery Podiatrist
  • Kingston, NY
National Provider Identifier
1033186804
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N005226 Issued in NY
Practice address
103 Hurley Ave
Kingston, NY 12401
Phone
(845) 339-4191
Fax
(845) 331-6894
NPI assigned
Mar 1, 2006
Last updated
Jan 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N005226 NY Primary

Addresses

Primary practice location

103 Hurley Ave
Kingston, NY 12401

Mailing address

103 Hurley Ave
Kingston, NY 12401
Phone (845) 339-4191

Other identifiers 1

IdentifierTypeStateIssuer
02156494MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040423001182 NY Practitioner - Podiatry 3072509074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boltrope Podiatry Ny PLLCGroup PAC ID 5496135329, 32 clinicians

Practice addresses (Care Compare)

103 Hurley Ave
Kingston, NY 12401-2829
Phone (845) 339-4191

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.8 of 100Reported as group
Quality
89.27
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.23 of 100Reported as group
Quality
93.52
Promoting interoperability
86
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15
Removal of skin lesions11
Removal of nail tissue820
Removal or shaving of skin growth168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005226NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Foot Associates, LLP CurrentSince Apr 1, 2015 Accepting new patients
Cur Alta Medical Ny PLLC Foot & Ankle Surgery CurrentSince Nov 4, 2024 Accepting new patients
Hudson Valley Foot Associates, LLP Foot & Ankle Surgery CurrentSince Nov 5, 2004 Accepting new patients
Cur Alta Medical Ny PLLC Foot & Ankle Surgery CurrentSince Nov 4, 2024 Accepting new patients
Nysarc Inc. Ulster, Greene, Putnam Counties Chapter PastSince Oct 12, 2015 Accepting new patients
Hudson Valley Health Specialties, Inc Past Accepting new patients

Locations

365 W Passaic St
Ste 530
Rochelle Park, NJ 07662
Phone (201) 571-0214

86 Healy Blvd
#2
Hudson, NY 12534
Phone (877) 339-4382

103 Hurley Ave
Kingston, NY 12401
Phone (845) 339-4191

111 Main St
Nanuet, NY 10954
Phone (845) 623-5863

388 Blooming Grove Tpke
New Windsor, NY 12553
Phone (845) 561-1255

1315 Route 9
Ste 205
Wappingers Fl, NY 12590
Phone (845) 297-4055

1323 Route 9
Ste 106
Wappingers Fl, NY 12590
Phone (845) 297-4055

28 Hope Plz
West Coxsackie, NY 12192
Phone (518) 731-5444

Interoperability endpoints

  • Direct secure messaging: mkeller@direct.health-quest.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1033186804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 HURLEY AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "12401",
            "telephone_number": "845-339-4191",
            "fax_number": "845-331-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 HURLEY AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "12401",
            "telephone_number": "845-339-4191",
            "fax_number": "845-331-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N005226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02156494",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.