Individual provider Active NPI

Alexander P. Keller IV, M.D.

  • Emergency Medicine Physician
  • Wright-Patterson Afb, OH
National Provider Identifier
1700845195
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35.150633 Issued in OH
Practice address
88 MDG/SGH
Wright-Patterson Afb, OH 45433
Phone
(937) 938-2758
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X S7471 TX
Emergency Medicine Physician 207P00000X 058258 GA
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X S7471 TX
Aerospace Medicine Physician 2083A0100X 058258 GA
Emergency Medicine Physician 207P00000X 35.150633 OH Primary

Addresses

Primary practice location

88 MDG/SGH
Wright-Patterson Afb, OH 45433

Mailing address

5519 Cottonrose Dr
Dayton, OH 45431-1579
Phone (706) 714-6878

Other practice location 1

105 Trinity Pl
Athens, GA 30607-2112
Phone (706) 549-9993

Other practice location 2

1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Phone (706) 714-6878

Other practice location 3

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 539-9582

Other practice location 4

601 State Route 664 N
Logan, OH 43138-8541
Phone (740) 380-8000

Other practice location 5

601 State Route 664 N
Logan, OH 43138-8541
Phone (740) 380-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140916001599 FL Practitioner - Emergency Medicine 6507094992 Reassigns benefits to 1 organization
I20221230000973 VA Practitioner - Emergency Medicine 6507094992 Reassigns benefits to 1 organization
I20240828001239 OH Practitioner - Emergency Medicine 6507094992 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical College of Georgia School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1430 Columbus Ave
Washington Court House, OH 43160-1703
Phone (740) 335-1210

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S7471TXMDMilitary Health Care Provider
058258GAMDAerospace Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Floridian Emergency Specialists LLC Emergency Medicine Current Accepting new patients
Osu Emergency Medicine LLC Emergency Medical Services CurrentSince Jun 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of Ohio - Cincinnati Professional Corp Emergency Medicine CurrentSince Jan 27, 2025 Accepting new patients
Emergency Physician Associates of Ohio, Inc Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Osup Community Outreach LLC CurrentSince Jul 6, 2024 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Sep 20, 2022 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Sep 20, 2022 Accepting new patients
Osu Observation Medicine, LLC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients

Locations

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

601 State Route 664 N
Logan, OH 43138
Phone (740) 380-8000

6100 N Hamilton Rd
Westerville, OH 43081
Phone (614) 814-8100

1430 Columbus Ave
Wshngtn Ct Hs, OH 43160
Phone (740) 333-2705

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

3636 High St
Portsmouth, VA 23707
Phone (757) 398-2200

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1700845195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5519 COTTONROSE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454311579",
            "telephone_number": "706-714-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MDG/SGH",
            "city": "WRIGHT-PATTERSON AFB",
            "state": "OH",
            "postal_code": "45433",
            "telephone_number": "937-938-2758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Trinity Pl",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306072112",
            "country_code": "US",
            "telephone_number": "706-549-9993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Wilford Hall Loop Bldg 4554",
            "address_purpose": "LOCATION",
            "city": "Jbsa Lackland",
            "state": "TX",
            "postal_code": "782365638",
            "country_code": "US",
            "telephone_number": "706-714-6878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3551 Roger Brooke Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782344504",
            "country_code": "US",
            "telephone_number": "210-539-9582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 State Route 664 N",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "OH",
            "postal_code": "431388541",
            "country_code": "US",
            "telephone_number": "740-380-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 State Route 664 N",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "OH",
            "postal_code": "431388541",
            "country_code": "US",
            "telephone_number": "740-380-8000",
            "fax_number": "614-293-2809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "ALEXANDER",
        "middle_name": "P.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "TX",
            "license": "S7471",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "058258",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "S7471",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "GA",
            "license": "058258",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.150633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wright-Patterson Afb, OH

Sources for this page

Verify at the official NPI Registry.