David Mark Keller, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01034245A Issued in IN

Practice address

203 East Main St
Richmond, IN 47374

Phone

(765) 973-9294

Fax

(765) 973-9233

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BBFHCD
• Direct secure messaging: dkeller307785@ecommunitydirect.com

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Well Care Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Austin, IN
  • NPI 1104538636

  Corporate Director, Operational/Managerial Control

  CMS ownership
• Well Care Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Austin, IN
  • NPI 1164223186

  Corporate Director, Operational/Managerial Control

  CMS ownership
• Well Care Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Richmond, IN
  • NPI 1427694314

  Corporate Director, Operational/Managerial Control

  CMS ownership
• Well Care Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Henryville, IN
  • NPI 1447962105

  Corporate Director, Operational/Managerial Control

  CMS ownership
• Well Care Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Centerville, IN
  • NPI 1568199008

  Corporate Director, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

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.

• Well Care Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Richmond, IN
  • NPI 1427694314

  Family Medicine

  Medicare reassignment NPD Authorized official
• Well Care Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Austin, IN
  • NPI 1164223186
  NPD

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1154409282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 EAST MAIN ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "47374",
            "telephone_number": "765-973-9294",
            "fax_number": "765-973-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 EAST MAIN ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "47374",
            "telephone_number": "765-973-9294",
            "fax_number": "765-973-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "DAVID",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01034245A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100321440A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Kaiser, NP
• Valaree Kaiser
• Mahendra K Kalra, M.D.
• Gregory Robert Karch, PHD HSPP
• Shumila Kazmi
• Caren J Kemp
• Karen Kemp
• Larry Kemp
• Cynthia E Kenol, M.D.
• Chrisopher Ketron

• Family Medicine Physician in Richmond, IN
• Providers in Richmond, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.