Individual provider Active NPI

Sean Michael Keeler, M.D.

  • Maternal & Fetal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1205997277
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
15892 Issued in NV
Practice address
5761 S Fort Apache Rd
BLD. 8
Las Vegas, NV 89148-5506
Phone
(702) 341-6610
Fax
(702) 341-6961
NPI assigned
Dec 13, 2006
Last updated
Sep 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 239350 NY
Maternal & Fetal Medicine Physician 207VM0101X 25MA09245200 NJ
Maternal & Fetal Medicine Physician 207VM0101X 15892 NV Primary

Addresses

Primary practice location

5761 S Fort Apache Rd
BLD. 8
Las Vegas, NV 89148-5506

Mailing address

5761 S Fort Apache Rd
BLD. 8
Las Vegas, NV 89148-5506
Phone (702) 341-6610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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

Enrollment IDStateProvider typePAC IDDetails
I20160503000563 NV Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 3779670708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Hahneman Medical College of the Pacific, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adashek and Wilkes LLPGroup PAC ID 4385645209, 6 clinicians

Practice addresses (Care Compare)

5761 S Fort Apache Rd
BLDG 8
Las Vegas, NV 89148-5506
Phone (702) 341-6610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09245200NJMDMaternal & Fetal Medicine Physician
15892NVMDMaternal & Fetal Medicine Physician
239350NYMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unlv Medicine CurrentSince Oct 19, 2023 Accepting new patients
Adashek and Wilkes LLP Maternal & Fetal Medicine CurrentSince Mar 19, 2016 Accepting new patients
Unlv Medicine CurrentSince Oct 19, 2023 Accepting new patients
Bergen Perinatal Associates, LLC Maternal & Fetal Medicine Past Accepting new patients
Lehigh Valley Hospital Past Accepting new patients
Mountain View Hospital, Inc. Past Accepting new patients
Billings Clinic Past Accepting new patients
Cooperman Barnabas Medical Center Inc Past Accepting new patients
Dignity Health Past Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
New Jersey Perinatal Assoc. LLC PastSince Jan 1, 2003 Accepting new patients
Dignity Health Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
The Brookdale Hospital Medical Center Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Brookdale Hospital Medical Center PastSince Jan 1, 2007 Accepting new patients
Dignity Health Past Accepting new patients
Sanford Medical Center Past Accepting new patients
Brookdale Hospital Medical Center Past Accepting new patients
Brookdale Family Care Center, Inc. Obstetrics & Gynecology Past Accepting new patients

Locations

3001 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 341-6610

10105 Banburry Cross Dr
Ste 430
Las Vegas, NV 89144
Phone (702) 341-6610

1707 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2300

1707 W Charleston Blvd
Ste 220
Las Vegas, NV 89102
Phone (702) 671-5070

2410 Fire Mesa St
Ste 180
Las Vegas, NV 89128
Phone (702) 202-2700

5761 S Fort Apache Rd
Las Vegas, NV 89148
Phone (702) 232-3165

5761 S Fort Apache Rd
Bldg 8
Las Vegas, NV 89148
Phone (702) 341-6610

600 S Rancho Dr
Ste 106
Las Vegas, NV 89106

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1205997277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5761 S FORT APACHE RD",
            "address_2": "BLD. 8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485506",
            "telephone_number": "702-341-6610",
            "fax_number": "702-341-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5761 S FORT APACHE RD",
            "address_2": "BLD. 8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485506",
            "telephone_number": "702-341-6610",
            "fax_number": "702-341-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELER",
        "first_name": "SEAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NY",
            "license": "239350",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NJ",
            "license": "25MA09245200",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NV",
            "license": "15892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.