Kim Dorian Keller, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

1983 Issued in TX

Practice address

10425 Huffmeister Rd
Suite 200
Houston, TX 77065

Phone

(281) 955-8884

Fax

(281) 897-9536

NPI assigned

Sep 20, 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 TX

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

General Surgery

Education

University of Arkansas College of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Keller Surgical Specialists, PAGroup PAC ID 5193776599, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
• Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068
• Houston Methodist Cypress Hospital Hospital, Cypress, TX, CCN 670342
• HCA Houston Healthcare Tomball Hospital, Tomball, TX, CCN 450670

Merit-based Incentive Payment System (MIPS)

Final score

97.61 of 100Reported as group

Quality

100

Improvement activities

40

Cost

92.03

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IFJBDA/Endpoint/IFJBDA
• FHIR API: https://fhir4.healow.com/fhir/r4/IFJBDA

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.

• Keller Surgical Specialists PA

  • Surgery Physician
  • Houston, TX
  • NPI 1093813453
  Medicare reassignment Care Compare group NPD Authorized official
• Cypress Surgical Associates PLLC

  • Surgery Physician
  • Houston, TX
  • NPI 1558214510
  NPD

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

• KPH-Consolidation, Inc.

  • General Acute Care Hospital
  • Kingwood, TX
  • NPI 1811942238
  Care Compare affiliation
• Memorial Hermann Health System

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Houston, TX
  • NPI 1437189115

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1982666111
  Care Compare affiliation
• Methodist Health Centers

  • General Acute Care Hospital
  • Cypress, TX
  • NPI 1629828405
  Care Compare affiliation
• North Houston - TRMC, LLC

  • General Acute Care Hospital
  • Tomball, TX
  • NPI 1750819025
  Care Compare affiliation

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1407954845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 HUFFMEISTER RD",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77065",
            "telephone_number": "281-955-8884",
            "fax_number": "281-897-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 HUFFMEISTER RD",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77065",
            "telephone_number": "281-955-8884",
            "fax_number": "281-897-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "KIM",
        "middle_name": "DORIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "1983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033114202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Keller
• Deanna D Keller, LPC-ASSOCIATE
• Francis X. Keller, M.D.
• Jason Keller, FNP-C
• Joseph Keller, PTA
• Laura Keller, LCSW
• Maryjane Keller
• Michael Charles Keller, M.D.
• Michael Glen Keller, MD
• Natalie Elizabeth Keller, M.D.

• Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.