Alan S Keller, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD-018947-E Issued in PA

Practice address

325 Central Ave
Suite 102
Malvern, PA 19355-3219

Phone

(610) 296-0142

Fax

(610) 651-2880

NPI assigned

Jan 22, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2012 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Paoli Psychiatric Associates

  • Psychiatry Physician
  • Malvern, PA
  • NPI 1063442366
  NPD (past) Authorized official
• Main Line Affiliates

  • Psychiatry Physician
  • Radnor, PA
  • NPI 1083777239
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669526539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CENTRAL AVE",
            "address_2": "SUITE 102",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553219",
            "telephone_number": "610-296-0142",
            "fax_number": "610-651-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CENTRAL AVE",
            "address_2": "SUITE 102",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553219",
            "telephone_number": "610-296-0142",
            "fax_number": "610-651-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "ALAN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD-018947-E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall H Kane, O.D.
• Craig Kauffman
• Adam B Kaufman, MD
• Douglas Kawka, PSY.D., BCB
• Alexandria Kazandjian
• Justin Daniel Keller, BSN, RN
• Rosemary B. Keller, NP-C
• Michael Eugene Kelly, RPH
• Judith A Kenney, LPC
• Krystal Estelle Kierod, PH.D.

• Psychiatry Physician in Malvern, PA
• Providers in Malvern, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.