Individual provider Active NPI

Louis L Keeler III, MD

  • Urology Physician
  • Cherry Hill, NJ
National Provider Identifier
1366409955
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA05934100 Issued in NJ
Practice address
2090 Springdale Rd Ste D
Cherry Hill, NJ 08003-2024
Phone
(877) 388-2778
Fax
(856) 751-2454
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 25MA05934100 NJ Primary

Addresses

Primary practice location

2090 Springdale Rd Ste D
Cherry Hill, NJ 08003-2024

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Other practice location 1

2401 E Evesham Rd
Suite F
Voorhees, NJ 08043-9590
Phone (856) 673-1600

Other identifiers 1

IdentifierTypeStateIssuer
6095500MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lkeeler10365@njurology.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20070119000148 NJ Practitioner - Urology 8921084609 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group CurrentSince Nov 1, 2017 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Nov 1, 2017 Accepting new patients
New Jersey Urology LLC Urology CurrentSince Apr 1, 2018 Accepting new patients
Atlanticare Regional Medical Center CurrentSince Nov 1, 2017 Accepting new patients
Atlanticare Physician Group PA Current Accepting new patients
Delaware Valley Urology LLC Current Accepting new patients
Atlanticare Regional Medical Center CurrentSince Nov 1, 2017 Accepting new patients
Summit Medical Group, Inc Past Accepting new patients

Locations

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

36 Newark Ave
Ste 200
Belleville, NJ 07109
Phone (973) 759-6180

1515 Broad St
Ste B130
Bloomfield, NJ 07003
Phone (973) 842-2730

2090 Springdale Rd
Ste D
Cherry Hill, NJ 08003

222 New Rd
Ste 700
Linwood, NJ 08221
Phone (609) 653-4343

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

570 Egg Harbor Rd
Ste A1
Sewell, NJ 08080
Phone (856) 582-9645

1103 W Sherman Ave
Ste 2B
Vineland, NJ 08360
Phone (856) 213-4035

2401 E Evesham Rd
Ste F
Voorhees, NJ 08043
Phone (856) 673-1600

Interoperability endpoints

  • Direct secure messaging: lkeeler10365@njurology.direct-ci.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1366409955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 SPRINGDALE RD STE D",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032024",
            "telephone_number": "877-388-2778",
            "fax_number": "856-751-2454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 E Evesham Rd",
            "address_2": "Suite F",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439590",
            "country_code": "US",
            "telephone_number": "856-673-1600",
            "fax_number": "856-673-7621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEELER",
        "first_name": "LOUIS",
        "middle_name": "L",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA05934100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6095500",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lkeeler10365@njurology.direct-ci.com",
            "affiliation": "N",
            "address_1": "2401 E Evesham Rd",
            "address_2": "Suite F",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.