Michael Paul Keller, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

2001231 Issued in NM

Practice address

4351 E Lohman Ave Ste 202
Las Cruces, NM 88011-8260

Phone

(575) 522-5955

Fax

(575) 522-6228

NPI assigned

Nov 21, 2005

Last updated

Sep 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Vascular Surgery

Education

Ohio State University College of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Three Crosses Regional Hospital LLCGroup PAC ID 1254758667, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Three Crosses Regional Hospital LLC Hospital, Las Cruces, NM, CCN 320091
• Christus Southern New Mexico Hospital, Alamogordo, NM, CCN 320004

Merit-based Incentive Payment System (MIPS)

Final score

89.53 of 100Reported as apm

Quality

79.07

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Three Crosses Regional Hospital LLC

  • Multi-Specialty Clinic/Center
  • Las Cruces, NM
  • NPI 1487248050
  Medicare reassignment Care Compare group NPD
• Familycare Associates,PA

  • Family Medicine Physician
  • Las Cruces, NM
  • NPI 1821161407
  NPD (past)
• Guillermo Hernandez, Jr. DO

  • Family Medicine Physician
  • Las Cruces, NM
  • NPI 1619179835
  NPD (past)
• Vascular & Hand Surgery, LTD

  • Vascular Surgery Physician
  • Belleville, IL
  • NPI 1104841063
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Otero County Hospital Association

  dba CHRISTUS Southern New Mexico

  • General Acute Care Hospital
  • Alamogordo, NM
  • NPI 1861450579
  Care Compare affiliation
• Three Crosses Regional Hospital LLC

  • General Acute Care Hospital
  • Las Cruces, NM
  • NPI 1760020044
  Care Compare affiliation

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1306829676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 E LOHMAN AVE STE 202",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118260",
            "telephone_number": "575-522-5955",
            "fax_number": "575-522-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 E LOHMAN AVE STE 202",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118260",
            "telephone_number": "575-522-5955",
            "fax_number": "575-522-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "2001231",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NM",
            "license": "2001231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96339811",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.keller.8@1928.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "4351 E Lohman Ave Ste 202",
            "city": "Las Cruces",
            "state": "NM",
            "country_code": "US",
            "postal_code": "880118260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lindsay Keeling, LMSW
• Madison Keithley
• Richard L Kelk
• Matthew J Kelker, MS CCC-SLP
• Julie Keller
• Ryan Benjamin Keller
• John Wesley Kelley
• Ainsley Kelly
• Deborah Kelly, MSN, RN, PMHNP
• Erin N Kelly

• Vascular Surgery Physician in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Vascular Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.

Verify at the official NPI Registry.