Michael Wilford Kelber, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10647 Issued in OR

Practice address

550 Dietz Ave NE
Keizer, OR 97303-4615

Phone

(503) 814-4400

NPI assigned

Oct 4, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

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 and National Provider Directory roles.

• Michael W Kelber MD PC

  • Family Medicine Physician
  • Salem, OR
  • NPI 1295918910
  NPD (past) Authorized official
• WVP Medical Group, LLC

  • Community/Behavioral Health Agency
  • Salem, OR
  • NPI 1922583616
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1487749693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13129",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973091129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 DIETZ AVE NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034615",
            "telephone_number": "503-814-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELBER",
        "first_name": "MICHAEL",
        "middle_name": "WILFORD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "10647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keizer of Olympus, LLC
• Keizer Rapids Dental, LLC
• Keizer River Operations, LLC
• Keizer Rural Fire Protection Dist
• Keizer Vision Source PC
• Chelsea Kellogg
• Daniel Richard Kenagy
• Brendan Charles Kennedy, CADC II, BS
• Erum S Khaleeq
• Caroline Louise King-Widdall, M.D.

• Family Medicine Physician in Keizer, OR
• Providers in Keizer, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.