Individual provider Active NPI

Michael Charles Keller, M.D.

  • Surgery Physician
  • Houston, TX
National Provider Identifier
1528449725
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
S5200 Issued in TX
Practice address
10425 Huffmeister Rd
Suite #200
Houston, TX 77065
Phone
(281) 955-8884
Fax
(281) 897-9536
NPI assigned
Jun 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X S5200 TX Primary

Addresses

Primary practice location

10425 Huffmeister Rd
Suite #200
Houston, TX 77065

Mailing address

10425 Huffmeister Rd
Suite #200
Houston, TX 77065
Phone (281) 955-8884

Other identifiers 1

IdentifierTypeStateIssuer
415083101MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200825000578 TX Practitioner - General Surgery 8224455100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical School at Houston, 2015
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)

10425 Huffmeister Rd
Houston, TX 77065-3429
Phone (281) 955-8884

Hospital & facility affiliations

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

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)37
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux17
Melanoma (skin cancer) excision1-10
Removal of tissue34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S5200TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keller Surgical Specialists PA Surgery CurrentSince Aug 10, 2020 Accepting new patients
Cypress Surgical Associates PLLC Surgery CurrentSince Aug 10, 2020 Accepting new patients

Locations

21216 Northwest Fwy
Ste 210
Cypress, TX 77429
Phone (281) 890-9146

22215 Cypresswood Dr
Ste 211
Cypress, TX 77433
Phone (281) 955-8884

10425 Huffmeister Rd
Ste 200
Houston, TX 77065
Phone (281) 955-8884

Interoperability endpoints

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

Organizations & group practices 2

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1528449725",
    "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": "MICHAEL",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-12",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "S5200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "415083101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.