Keller Surgical Specialists PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

KELLER SURGICAL SPECIALISTS PA

Doing business as

Kim D Keller MD

Practice address

10425 Huffmeister Rd Ste 200
Houston, TX 77065-3429

Phone

(281) 955-8884

Fax

(281) 897-9536

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kim Dorian Keller, MDNPI 1407954845

Title

President

Phone

(713) 254-0482

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kim D Keller MD Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IFJBDA

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim Dorian Keller, MD

  • Surgery Physician
  • Houston, TX
  • NPI 1407954845
  Medicare reassignment Care Compare group NPD Authorized official
• Michael Charles Keller, M.D.

  • Surgery Physician
  • Houston, TX
  • NPI 1528449725
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660435200000",
    "number": "1093813453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 HUFFMEISTER RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653429",
            "telephone_number": "281-955-8884",
            "fax_number": "281-897-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 HUFFMEISTER RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653429",
            "telephone_number": "281-955-8884",
            "fax_number": "281-897-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLER SURGICAL SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-14",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "DORIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-254-0482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033114202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408861901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kim D Keller MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James F Kellam, MD
• Patrick J. Kellam, MD
• Katerina Kellar, MD
• Jaime Kellaway, M.ED., LPC
• Amy Kelleh
• Arthur Lowell Keller, D.C.
• Carissa Keller
• Cassandra Keller
• Deanna D Keller, LPC-ASSOCIATE
• Francis X. Keller, M.D.

• Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.