Individual provider Active NPI

Susan Ann Keiler, M.D.

  • Dermatology Physician
  • Sheboygan, WI
National Provider Identifier
1063602811
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
55323-20 Issued in WI
Practice address
1440 N 25TH St
Sheboygan, WI 53081-3108
Phone
(920) 457-9100
Fax
(920) 457-1461
NPI assigned
Jul 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 55323-20 WI Primary

Addresses

Primary practice location

1440 N 25TH St
Sheboygan, WI 53081-3108

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

1515 Randolph Ct
Manitowoc, WI 54220-8345
Phone (920) 683-5278

Other practice location 2

401 Linden Ave
Wilmette, IL 60091-2844
Phone (847) 843-3376

Other practice location 3

2601 Compass Rd Ste 125
Glenview, IL 60026-8089
Phone (847) 843-3376

Other practice location 4

2600 N Mayfair Rd Ste 810
Milwaukee, WI 53226-1328
Phone (414) 771-1122

Other practice location 5

111 Wisconsin American Dr
Fond Du Lac, WI 54937-6725
Phone (920) 923-0788

Other practice location 6

9020 76th St Ste E
Pleasant Prairie, WI 53158-1976
Phone (262) 697-8013

Other practice location 7

7001 S Howell Ave Ste 900
Oak Creek, WI 53154-1408
Phone (262) 898-4400

Electronic endpoints 8

TypeEndpointUseAffiliation
Direct Messaging Address Susan.Keiler@forefrontdermatology.emadirect.md
Direct Messaging Address Susan.Keiler@forefrontdermatology.emadirect.md
Direct Messaging Address Susan.Keiler@forefrontdermatology.emadirect.md
Direct Messaging Address Susan.Keiler@forefrontdermatology.emadirect.md
Direct Messaging Address Susan.Keiler@forefrontdermatology.emadirect.md
Direct Messaging Address Susan.Keiler@forefrontdermatology.emadirect.md
Direct Messaging Address Susan.Keiler@forefrontdermatology.emadirect.md
Direct Messaging Address Susan.Keiler@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110308000656 WI Practitioner - Dermatology 1658553961 Reassigns benefits to 1 organization
I20231106002537 IL Practitioner - Dermatology 1658553961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, shared by 26 NPIs, 650 clinicians

Practice addresses (Care Compare)

2601 Compass Rd
Suite 125
Glenview, IL 60026-8089
Phone (847) 843-3376

7001 S Howell Ave
Suite 900
Oak Creek, WI 53154-1408
Phone (262) 898-4400

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision82
Removal of skin lesions1264
Removal or shaving of skin growth40
Skin biopsy337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince May 1, 2012 Accepting new patients
Forefront Dermatology, S.C. Dermatology Current Accepting new patients
Forefront Dermatology, S.C. Dermatology Current Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince May 1, 2012 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Oct 24, 2023 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

2051 Plainfield Rd
Crest Hill, IL 60403
Phone (815) 730-9900

2601 Compass Rd
Ste 125
Glenview, IL 60026
Phone (847) 843-3376

401 Linden Ave
Wilmette, IL 60091
Phone (847) 843-3376

1400 Scheuring Rd
De Pere, WI 54115
Phone (920) 964-0229

111 Wisconsin American Dr
Fond du Lac, WI 54937
Phone (920) 923-0788

1245 Cheyenne Ave
Ste 301
Grafton, WI 53024
Phone (262) 377-2222

1515 Randolph Ct
Manitowoc, WI 54220
Phone (920) 683-3278

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

7001 S Howell Ave
Ste 900
Oak Creek, WI 53154
Phone (920) 663-9005

9020 76th St
Ste E
Pleasant Prairie, WI 53158
Phone (262) 697-8013

1440 N 25th St
Sheboygan, WI 53081
Phone (920) 457-3737

2600 N Mayfair Rd
Ste 810
Wauwatosa, WI 53226
Phone (414) 771-1122

Interoperability endpoints

  • Direct secure messaging: susan.keiler@forefrontdermatology.emadirect.md
  • Direct secure messaging: skeiler@brodskyderm.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1063602811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N 25TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813108",
            "telephone_number": "920-457-9100",
            "fax_number": "920-457-1461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Randolph Ct",
            "address_purpose": "LOCATION",
            "city": "Manitowoc",
            "state": "WI",
            "postal_code": "542208345",
            "country_code": "US",
            "telephone_number": "920-683-5278",
            "fax_number": "920-686-9674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Linden Ave",
            "address_purpose": "LOCATION",
            "city": "Wilmette",
            "state": "IL",
            "postal_code": "600912844",
            "country_code": "US",
            "telephone_number": "847-843-3376",
            "fax_number": "847-998-8631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 Compass Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600268089",
            "country_code": "US",
            "telephone_number": "847-843-3376",
            "fax_number": "847-998-8631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 N Mayfair Rd Ste 810",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532261328",
            "country_code": "US",
            "telephone_number": "414-771-1122",
            "fax_number": "414-771-1352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Wisconsin American Dr",
            "address_purpose": "LOCATION",
            "city": "Fond Du Lac",
            "state": "WI",
            "postal_code": "549376725",
            "country_code": "US",
            "telephone_number": "920-923-0788",
            "fax_number": "920-273-0085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9020 76th St Ste E",
            "address_purpose": "LOCATION",
            "city": "Pleasant Prairie",
            "state": "WI",
            "postal_code": "531581976",
            "country_code": "US",
            "telephone_number": "262-697-8013",
            "fax_number": "262-697-6157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7001 S Howell Ave Ste 900",
            "address_purpose": "LOCATION",
            "city": "Oak Creek",
            "state": "WI",
            "postal_code": "531541408",
            "country_code": "US",
            "telephone_number": "262-898-4400",
            "fax_number": "414-435-3406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEILER",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "55323-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Susan.Keiler@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "401 Linden Ave",
            "city": "Wilmette",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600912844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Susan.Keiler@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "9020 76th St Ste E",
            "city": "Pleasant Prairie",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531581976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Susan.Keiler@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1515 Randolph Ct",
            "city": "Manitowoc",
            "state": "WI",
            "country_code": "US",
            "postal_code": "542208345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Susan.Keiler@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2601 Compass Rd Ste 125",
            "city": "Glenview",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600268089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Susan.Keiler@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2600 N Mayfair Rd Ste 810",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532261328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Susan.Keiler@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "111 Wisconsin American Dr",
            "city": "Fond Du Lac",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549376725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Susan.Keiler@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "7001 S Howell Ave Ste 900",
            "city": "Oak Creek",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531541408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Susan.Keiler@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1440 N 25th St",
            "city": "Sheboygan",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530813108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

Verify at the official NPI Registry.