Greg S Keller, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

31711 Issued in AZ

Practice address

3195 Stillwater Dr Ste D
Prescott, AZ 86305-7171

Phone

(928) 708-4545

Fax

(928) 708-4544

NPI assigned

Aug 20, 2006

Last updated

Dec 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ, NY2 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

Specialty

Orthopedic Surgery

Education

Pennsylvania State University College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lewis CountyGroup PAC ID 2668463779, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lewis County General Hospital Hospital, Lowville, NY, CCN 331317

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gkeller@oswegohealth.hiemail.healtheconnections.org
• Direct secure messaging: gkeller42002@mvhealthsystem.direct-ci.com

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.

• Lewis County General Hospital

  • Surgery Physician
  • Lowville, NY
  • NPI 1659433217
  Medicare reassignment Care Compare group
• District Medical Group, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Phoenix, AZ
  • NPI 1336472448
  Medicare reassignment NPD
• District Medical Group, Inc

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1629301734
  NPD

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

• Lewis County

  dba Lewis County General Hospital

  • Rural Acute Care Hospital
  • Lowville, NY
  • NPI 1487689402
  Care Compare affiliation
• Lewis County General Hospital

  • Critical Access Hospital
  • Lowville, NY
  • NPI 1619390838
  Care Compare affiliation

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1639284813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10880",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863040880",
            "telephone_number": "928-759-5874",
            "fax_number": "928-458-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 STILLWATER DR STE D",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057171",
            "telephone_number": "928-708-4545",
            "fax_number": "928-708-4544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Willow Creek Rd, Suite 1300",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "86301",
            "country_code": "US",
            "telephone_number": "928-708-4554",
            "fax_number": "928-458-2108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3262 N Windsong Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863142255",
            "country_code": "US",
            "telephone_number": "928-708-4545",
            "fax_number": "928-458-2107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "GREG",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2021-12-01",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "31711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "31711",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "496291",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Elizabeth Keever, BSN, RN
• Catherine A Kefer, ANP
• Ann Kehm, P.T.
• Keith a Mackenzie DO PC (MacKenzie Dermatology)
• Brenda Kellar, OT
• Katherine Maurine Keller, L.C.S.W.
• Melissa Marie Kelly, RN
• Kimberly Kay Kelsey, LCSW
• Hai CHI Keng, M.D.
• Aileen Marie Kennedy, M.D.

• Orthopaedic Surgery Physician in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Orthopaedic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.

Verify at the official NPI Registry.