Active NPI
Kyle Anthony Keller, MD
- Family Medicine Physician
- Maumee, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.144587
- Practice address
- 1657 Holland Rd Ste a
Maumee, OH 43537-1661 - Phone
- (419) 794-2180
- Fax
- (419) 794-2180
- NPI assigned
- Apr 3, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35.144587 | OH | Primary |
Addresses
Primary practice location
1657 Holland Rd Ste a
Maumee, OH 43537-1661
Mailing address
1657 Holland Rd Ste a
Maumee, OH 43537-1661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Family Practice
- Education
- University of Toledo College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1657 Holland Rd
Suite a
Maumee, OH 43537-1661
Phone (419) 794-2180
5130 Bradenton Ave
Suite a
Dublin, OH 43017-7068
Phone (614) 734-1100
Hospital & facility affiliations
- Mercy St Vincent Medical Center
- Promedica Toledo Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.144587 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians - North, LLC | Current | Accepting new patients | |
| Central Ohio Primary Care Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Central Ohio Primary Care Physicians Inc | Current | Accepting new patients | |
| Central Ohio Primary Care Physicians, Inc. | Current | Accepting new patients | |
| Mercy Health Physicians-North LLC | Family Medicine | Current | Accepting new patients |
| Mercy Health System Northern | Past | Accepting new patients |
Locations
4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665
5130 Bradenton Ave
Ste A
Dublin, OH 43017
Phone (614) 734-1100
1657 Holland Rd
Ste A
Maumee, OH 43537
Phone (419) 794-2180
5705 Monclova Rd
Ste 100
Maumee, OH 43537
Phone (419) 794-2180
2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013
655 Africa Rd
Westerville, OH 43082
Interoperability endpoints
- kkeller18784@copcp.medicity.net
- kkeller3044713@direct.bsmhealth.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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Westerville, OH
- NPI 1194705194
Family Medicine
-
- Family Medicine Physician
- Toledo, OH
- NPI 1609000769
-
- Hospitalist Physician
- Westerville, OH
- NPI 1518398866
-
- Clinical Medical Laboratory
- Westerville, OH
- NPI 1639279045
-
- Customized Equipment (DME)
- Perrysburg, OH
- NPI 1992358766
-
- Pediatric Cardiology Physician
- Toledo, OH
- NPI 1992748743
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763510400000",
"number": "1083176622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1657 HOLLAND RD STE A",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435371661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1657 HOLLAND RD STE A",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435371661",
"telephone_number": "419-794-2180",
"fax_number": "419-794-2180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "KYLE",
"middle_name": "ANTHONY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-03",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.144587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maumee, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.