Active NPI
Tyler James Keller, M.D.
- Orthopaedic Surgery Physician
- Louisville, KY
National Provider Identifier
1669738506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 51057
- Practice address
- 6641 Dixie Hwy
Louisville, KY 40258-3909 - Phone
- (502) 364-0902
- Fax
- (502) 364-0099
- NPI assigned
- Apr 4, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 51057 | KY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Orthopaedic Surgery Physician | 207X00000X | 51057 | KY | Primary |
Addresses
Primary practice location
6641 Dixie Hwy
Louisville, KY 40258-3909
Mailing address
560 S Loop Rd
Edgewood, KY 41017-3405
Phone (859) 301-2663
Other practice location 1
8620 Biggin Hill Ln
Louisville, KY 40220-4117
Phone (502) 364-0902
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100546170 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- 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
- Orthopedic Surgery
- Education
- Kentucky School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SN Kentuckiana Rehab, LLC
Practice addresses (Care Compare)
12613 Taylorsville Rd
Louisville, KY 40299-5496
Phone (502) 267-1480
2125 State St
New Albany, IN 47150-4972
560 S Loop Rd
Edgewood, KY 41017-3405
6641 Dixie Hwy
Louisville, KY 40258-3909
Phone (859) 301-2663
Hospital & facility affiliations
- Caretenders
- Baptist Health Louisville
- Baptist Health Floyd
- UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital
- Norton Hospitals, Inc
- Baptist Health Hardin
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 32 |
| Knee replacement | 51 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51057 | KY | MD | Adult Reconstructive Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthocincy Orthopaedics & Sports Medicine PSC | Orthopaedic Surgery | Current | Accepting new patients |
| Orthocincy Orthopaedics & Sports Medicine PSC | Current | Accepting new patients |
Locations
605 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 496-8779
560 S Loop Rd
Edgewood, KY 41017
Phone (859) 817-3599
6641 Dixie Hwy
Louisville, KY 40258
Phone (502) 364-0902
8620 Biggin Hill Ln
Louisville, KY 40220
Phone (502) 364-0902
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Edgewood, KY
- NPI 1598714560
IN
-
- Physical Therapy Clinic/Center
- New Albany, IN
- NPI 1003824772
-
- Physical Therapist
- Montgomery, OH
- NPI 1003791054
Hospital & facility affiliations 40
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elizabethtown, KY
- NPI 1689282147
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
-
- Home Health Agency
- Louisville, KY
- NPI 1770767410
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1447388335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1669738506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 S LOOP RD",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410173405",
"telephone_number": "859-301-2663",
"fax_number": "859-817-7848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6641 DIXIE HWY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402583909",
"telephone_number": "502-364-0902",
"fax_number": "502-364-0099"
}
],
"practiceLocations": [
{
"address_1": "8620 Biggin Hill Ln",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402204117",
"country_code": "US",
"telephone_number": "502-364-0902",
"fax_number": "502-364-0099",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLER",
"first_name": "TYLER",
"middle_name": "JAMES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-04",
"last_updated": "2022-08-19",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "KY",
"license": "51057",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "KY",
"license": "51057",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100546170",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.