Individual provider Active NPI

Vern Antoine Keller, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lafayette, LA
National Provider Identifier
1639176472
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
021788 Issued in LA
Practice address
155 Hospital Dr Ste 201
Lafayette, LA 70503-2852
Phone
(337) 289-7999
Fax
(337) 289-7998
NPI assigned
Jul 7, 2005
Last updated
Dec 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 021788 LA Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 22054 MS
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME114423 FL

Addresses

Primary practice location

155 Hospital Dr Ste 201
Lafayette, LA 70503-2852

Mailing address

PO Box 23666
Jackson, MS 39225-3666
Phone (601) 200-4749

Other identifiers 4

IdentifierTypeStateIssuer
P01303537OtherMSRAILROAD MEDICARE
00084714MedicaidMS
330005703OtherLARR MEDICARE
1977292MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 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
I20060309000317 LA Practitioner - Thoracic SurgeryPractitioner - Emergency Medicine 0648287029 Reassigns benefits to 2 organizations
I20140331001784 MS Practitioner - Thoracic Surgery 0648287029

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Duke University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

Practice addresses (Care Compare)

155 Hospital Dr
Suite 201
Lafayette, LA 70503-2852
Phone (337) 289-7999

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22054MSMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc CurrentSince Dec 5, 2021 Accepting new patients
Lsuhn Billing LLC CurrentSince Oct 1, 2022 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
Lafayette Health Ventures, Inc CurrentSince Dec 5, 2021 Accepting new patients
Lsuhn Billing LLC CurrentSince Mar 17, 2024 Accepting new patients
Cardiovascular and Thoracic Specialists LLC PastSince Feb 1, 2010 Accepting new patients
Lafayette General Medical Center Inc Past Accepting new patients
Community Hospital Family Practice LLC Past Accepting new patients

Locations

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

225 Dunn St
Houma, LA 70360
Phone (985) 446-2021

155 Hospital Dr
Ste 201
Lafayette, LA 70503
Phone (337) 234-7777

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

107 Maryland Dr
Luling, LA 70070
Phone (504) 349-6411

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1639176472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23666",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392253666",
            "telephone_number": "601-200-4749",
            "fax_number": "601-200-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL DR STE 201",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032852",
            "telephone_number": "337-289-7999",
            "fax_number": "337-289-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "VERN",
        "middle_name": "ANTOINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "LA",
            "license": "021788",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MS",
            "license": "22054",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME114423",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01303537",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00084714",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "330005703",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1977292",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.