Active NPI
Jessica Jade Keller, MD
- Diagnostic Radiology Physician
- Kansas City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 59610
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
- Baylor Scott & White Medical Center- Waxahachie
- Baylor University Medical Center
- Baylor Scott & White Heart & Vascular Hospital - Dallas
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.18 of 100
- Quality
- 85.58
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59610 | KY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Mt Graham Regional Medical Center Inc | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV, LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV, LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Blue Stone JV LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV, LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV, LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | 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.
-
- Critical Access Hospital
- Safford, AZ
- NPI 1275588345
-
- Physiological Laboratory
- Irving, TX
- NPI 1811357114
-
- Physiological Laboratory
- Mesquite, TX
- NPI 1073951414
-
- Physiological Laboratory
- Fort Worth, TX
- NPI 1154769503
-
- Physiological Laboratory
- Dallas, TX
- NPI 1225476658
-
- Physiological Laboratory
- Hurst, TX
- NPI 1245678697
-
- Physiological Laboratory
- Plano, TX
- NPI 1255779690
-
- Physiological Laboratory
- Southlake, TX
- NPI 1265870604
-
- Physiological Laboratory
- Dallas, TX
- NPI 1275971616
-
- Physiological Laboratory
- Arlington, TX
- NPI 1326518341
-
- Physiological Laboratory
- Burleson, TX
- NPI 1508204959
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waxahachie, TX
- NPI 1265430177
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1609855139
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.