NPIMap

Individual provider Active NPI

Larry Keller, DO

  • Internal Medicine Physician
  • Flourtown, PA
National Provider Identifier
1528064094
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS007193L Issued in PA
Practice address
1811 Bethlehem Pike
A-108
Flourtown, PA 19031-1111
Phone
(215) 884-0959
Fax
(215) 884-9533
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS007193L PA Primary

Addresses

Primary practice location

1811 Bethlehem Pike
A-108
Flourtown, PA 19031-1111

Mailing address

1235 Old York Rd
Ste 210
Abington, PA 19001-3841
Phone (215) 884-0959

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
I20040117000079 PA Practitioner - Internal Medicine 7517868037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Einstein Community Health Associates IncGroup PAC ID 7012818008, 196 clinicians

Practice addresses (Care Compare)

101 E Olney Ave
Philadelphia, PA 19120-2470
Phone (215) 927-1937

Hospital & facility affiliations

  • Accentcare Health of Pennsylvania Home health agency, Bristol, PA, CCN 397472
  • Jefferson Health at Home by Bayada Home health agency, Horsham, PA, CCN 397145
  • Mercy Home Health Home health agency, Newtown, PA, CCN 397015
  • Echo Hospice of Pennsylvania, LLC Hospice, Philadelphia, PA, CCN 391799
  • Vitality Hospice and Palliative Care Hospice, Langhorne, PA, CCN 731506
  • All American Hospice LLC Hospice, Feasterville Trevose, PA, CCN 391755
  • Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115
  • Doylestown Hospital Hospital, Doylestown, PA, CCN 390203
  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231
  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174
  • Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142
  • Brookside Healthcare & Rehabilitation Center Nursing home, Roslyn, PA, CCN 395227
  • Rydal Park of Philadelphia Presbytery Homes, Inc Nursing home, Rydal, PA, CCN 395321
  • Edgehill Nursing and Rehab Cen Nursing home, Glenside, PA, CCN 395757

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Community Health Associates, Inc CurrentSince Dec 15, 2024 Accepting new patients
Einstein Community Health Associates, Inc Internal Medicine CurrentSince Dec 15, 2024 Accepting new patients
Rehabclinics SPT, Inc. Past Accepting new patients
Abington Memorial Hospital Internal Medicine Past Accepting new patients
Brookside Healthcare & Rehabilitation Center LLC Past Accepting new patients
Womencare OB GYN, P.C. Past Accepting new patients
Pennsylvania LTC Inc Past Accepting new patients
Abington Memorial Hospital Internal Medicine Past Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Echo Hospice of Pennsylvania, LLCPhiladelphia, PA, CCN 391799 Hospice Contracted Managing Employee Jul 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1528064094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 OLD YORK RD",
            "address_2": "STE 210",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013841",
            "telephone_number": "215-884-0959",
            "fax_number": "215-884-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 BETHLEHEM PIKE",
            "address_2": "A-108",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311111",
            "telephone_number": "215-884-0959",
            "fax_number": "215-884-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "LARRY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS007193L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flourtown, PA

Sources for this page

Verify at the official NPI Registry.