Active NPI
Cameron Watkins Keller, M.D.
- Emergency Medicine Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- BP10046392
- Practice address
- 12221 N Mopac Expy
Austin, TX 78758-2401 - Phone
- (512) 901-1000
- NPI assigned
- Jun 10, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | BP10046392 | TX | Primary |
Addresses
Primary practice location
12221 N Mopac Expy
Austin, TX 78758-2401
Mailing address
12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (919) 934-8171
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.58 of 100
- Quality
- 75.66
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10046392 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Emergency Physicians PA | Emergency Medicine | Current | Accepting new patients |
| Wake Emergency Physicians PA | Emergency Medicine | Current | Accepting new patients |
| Wake Emergency Physicians PA | Emergency Medicine | Current | Accepting new patients |
| Longhorn Emergency Medical Associates PA | Emergency Medicine | Current | Accepting new patients |
Locations
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199
509 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8171
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466
Interoperability endpoints
- ckeller1010060@direct.unc.nchie.net
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.
-
- Emergency Medicine Physician
- Raleigh, NC
- NPI 1922063387
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1649669672
-
- Emergency Medicine Physician
- Rocky Mount, NC
- NPI 1033770292
-
- Emergency Medicine Physician
- Goldsboro, NC
- NPI 1619758018
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cary, NC
- NPI 1114993086
-
- Psychiatric Hospital Unit
- Raleigh, NC
- NPI 1780446302
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1972579837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473206400000",
"number": "1093153231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12221 N MOPAC EXPY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787582401",
"telephone_number": "512-901-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12221 N MOPAC EXPY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787582401",
"telephone_number": "512-901-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "CAMERON",
"middle_name": "WATKINS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-10",
"last_updated": "2016-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "BP10046392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.