Individual provider Active NPI

Jessica Jade Keller, MD

  • Diagnostic Radiology Physician
  • Kansas City, KS
National Provider Identifier
1538621966
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
59610 Issued in KY
Practice address
3901 Rainbow Blvd # Ms 2027
Kansas City, KS 66160-8500
Phone
(913) 588-6050
NPI assigned
Apr 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 59610 KY Primary

Addresses

Primary practice location

3901 Rainbow Blvd # Ms 2027
Kansas City, KS 66160-8500

Mailing address

3901 Rainbow Blvd # Ms 2027
Kansas City, KS 66160-8500
Phone (913) 588-6050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240826002158 KS Practitioner - Diagnostic Radiology 5597090191 Reassigns benefits to 1 organization
I20250701004241 AZ Practitioner - Diagnostic Radiology 5597090191 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Arkansas College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6207 W 76TH St
Prairie Village, KS 66208-4538
Phone (800) 841-4236

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.18 of 100Reported as group
Quality
85.58
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59610KYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Btdi JV LLP CurrentSince Jun 25, 2025 Accepting new patients
Btdi JV LLP CurrentSince Sep 1, 2025 Accepting new patients
Mt Graham Regional Medical Center Inc CurrentSince Apr 20, 2025 Accepting new patients
Btdi JV LLP CurrentSince Aug 15, 2025 Accepting new patients
Btdi JV LLP CurrentSince Jun 25, 2025 Accepting new patients
Btdi JV, LLP CurrentSince Jun 20, 2025 Accepting new patients
Btdi JV LLP CurrentSince Jun 25, 2025 Accepting new patients
Btdi JV, LLP CurrentSince Jun 25, 2025 Accepting new patients
Btdi JV LLP CurrentSince Jun 25, 2025 Accepting new patients
Blue Stone JV LLP CurrentSince Jun 25, 2025 Accepting new patients
Btdi JV LLP CurrentSince Oct 15, 2025 Accepting new patients
Btdi JV LLP CurrentSince Feb 1, 2026 Accepting new patients
Btdi JV LLP CurrentSince Jun 25, 2025 Accepting new patients
Btdi JV LLP CurrentSince Dec 1, 2025 Accepting new patients
Btdi JV LLP CurrentSince Jun 25, 2025 Accepting new patients
Btdi JV, LLP CurrentSince Jun 25, 2025 Accepting new patients
Btdi JV LLP CurrentSince Jun 25, 2025 Accepting new patients
Btdi JV LLP CurrentSince Jun 25, 2025 Accepting new patients
Btdi JV, LLP CurrentSince Jun 25, 2025 Accepting new patients
Btdi JV LLP CurrentSince Sep 1, 2025 Accepting new patients
Btdi JV LLP CurrentSince Jun 25, 2025 Accepting new patients
Btdi JV LLP CurrentSince Jul 20, 2025 Accepting new patients
ER Physician Group at Jackson Hospital Past Accepting new patients
Mt Graham Regional Medical Center Inc Past Accepting new patients

Locations

1600 S 20th Ave
Safford, AZ 85546
Phone (928) 348-4000

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 3

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": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1538621966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD # MS 2027",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608500",
            "telephone_number": "913-588-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD # MS 2027",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608500",
            "telephone_number": "913-588-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "JESSICA",
        "middle_name": "JADE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "59610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.