Active NPI
Cathrine Elena Keller, M.D.
- Diagnostic Radiology Physician
- Leesburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME51560
- Practice address
- 801 E Dixie Ave
Suite 104
Leesburg, FL 34748-7601 - Phone
- (352) 365-2583
- Fax
- (352) 728-6749
- NPI assigned
- May 4, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME51560 | FL | Primary |
| Magnetic Resonance Imaging (MRI) Internal Medicine Physician | 207RM1200X | 51560 | FL | |
| Neuroradiology Physician | 2085N0700X | ME51560 | FL |
Addresses
Primary practice location
801 E Dixie Ave
Suite 104
Leesburg, FL 34748-7601
Mailing address
734 N 3Rd St
Suite 115
Leesburg, FL 34748-5285
Phone (352) 365-2583
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 048046100 | Medicaid | FL | |
| 300097806 | Other | FL | RR MEDICARE LMIV |
| 300114870 | Other | FL | RR MEDICARE RACF |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.22 of 100
- Quality
- 95.56
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.5 of 100
- Quality
- 90
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51560 | FL | MD | Magnetic Resonance Imaging (MRI) Internal Medicine Physician |
| ME51560 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates of Central Florida L L C | Diagnostic Radiology | Current | Accepting new patients |
| Lake Medical Imaging and Breast Center at the Villages LLC | Diagnostic Radiology | Current | Accepting new patients |
| Lake Medical Imaging and Breast Center at the Villages LLC | Diagnostic Radiology | Past | Accepting new patients |
| Lake Medical Imaging and Breast Center at the Villages LLC | Diagnostic Radiology | Past | Accepting new patients |
| Lake Medical Imaging and Breast Center at the Villages LLC | Diagnostic Radiology | Past | Accepting new patients |
| Lake Medical Imaging and Breast Center at the Villages LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
801 E Dixie Ave
Ste 104
Leesburg, FL 34748
Phone (352) 287-5858
600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090
734 N 3rd St
Ste 115
Leesburg, FL 34748
Phone (352) 365-2583
1487 S US 301
Sumterville, FL 33585
Phone (352) 568-1966
340 Heald Way
Ste 140
The Villages, FL 32163
910 Old Camp Rd
Ste 120
The Villages, FL 32162
8801 SE 165th Mulberry Ln
The Villages, FL 32162
2955 Brownwood Blvd
Ste 112
The Villages, FL 32163
1400 N US Highway 441
Ste 510
The Villages, FL 32159
Phone (352) 753-4115
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456272000000",
"number": "1104874288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "734 N 3RD ST",
"address_2": "SUITE 115",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347485285",
"telephone_number": "352-365-2583",
"fax_number": "352-728-6749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E DIXIE AVE",
"address_2": "SUITE 104",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347487601",
"telephone_number": "352-365-2583",
"fax_number": "352-728-6749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "CATHRINE",
"middle_name": "ELENA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2016-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME51560",
"primary": true
},
{
"code": "207RM1200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Magnetic Resonance Imaging (MRI)",
"state": "FL",
"license": "51560",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "FL",
"license": "ME51560",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "048046100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE LMIV",
"identifier": "300097806",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE RACF",
"identifier": "300114870",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.