Michael G Keller, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

F1700 Issued in TX

Practice address

3133 Saba LN
Port Neches, TX 77651

Phone

(409) 962-7606

Fax

(409) 962-6027

NPI assigned

Oct 11, 2005

Last updated

May 31, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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.

• Michael G Keller DO PA

  dba Internal Medicine Assoc

  • Internal Medicine Physician
  • Port Neches, TX
  • NPI 1134286917
  Authorized official Same address or phone
• Internal Medicine Associates LLP

  • Internal Medicine Physician
  • Groves, TX
  • NPI 1588658892
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1417945734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 SABA LN",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776515421",
            "telephone_number": "409-962-7606",
            "fax_number": "409-962-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 SABA LN",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "77651",
            "telephone_number": "409-962-7606",
            "fax_number": "409-962-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F1700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093658503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James a. Arisco, D.D.S.
• Barbara K James, LCSW
• Cristina Johnson
• Stephanie Jolley
• K Paul Gerstenberg, D O, P a
• Fizzah Noor Khan, OTR/L, OTD
• Kieschnick Chiropractic PLLC
• Kimberly R. Pitts D O P a
• Ashton Knowles, OTR/L
• Madison Leigh Krautz, FNP-C

• Internal Medicine Physician in Port Neches, TX
• Providers in Port Neches, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.