NPIMap

Individual provider Active NPI

David A Keller, M.D.

  • Family Medicine Physician
  • Palmyra, PA
National Provider Identifier
1467417733
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD053573L Issued in PA
Practice address
1400 S Forge Rd
Palmyra, PA 17078-9519
Phone
(717) 838-1301
NPI assigned
Apr 19, 2006
Last updated
Nov 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD053573L PA Primary

Addresses

Primary practice location

1400 S Forge Rd
Palmyra, PA 17078-9519

Mailing address

1400 S Forge Rd
Palmyra, PA 17078-9519
Phone (717) 838-1301

Other identifiers 1

IdentifierTypeStateIssuer
001559903MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040306000083 PA Practitioner - Family Practice 0648168203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pennsylvania State University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lebanon Valley Family Medicine IncGroup PAC ID 7214825876, 9 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

10484 Jonestown Rd
Annville, PA 17003-8434
Phone (717) 865-6647

1400 S Forge Rd
Suite 1
Palmyra, PA 17078-9513

1400 S Forge Rd
Suite 1
Palmyra, PA 17078-9519
Phone (717) 838-1301

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions18
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lebanon Valley Family Medicine, Inc Family Medicine CurrentSince Jan 1, 2004 Accepting new patients
Lebanon Valley Brethren Home Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Lebanon Valley Family Medicine Inc Past Accepting new patients

Locations

1400 S Forge Rd
Palmyra, PA 17078
Phone (717) 274-5500

1400 S Forge Rd
Ste 1
Palmyra, PA 17078
Phone (717) 838-1301

Interoperability endpoints

  • Direct secure messaging: dakeller@lvfm2.medentdirect.com
  • Direct secure messaging: dkeller187839@direct-lghealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1467417733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S FORGE RD",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170789519",
            "telephone_number": "717-838-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S FORGE RD",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170789519",
            "telephone_number": "717-838-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD053573L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001559903",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmyra, PA

Sources for this page

Verify at the official NPI Registry.