Active NPI
Alexander P. Keller IV, M.D.
- Emergency Medicine Physician
- Wright-Patterson Afb, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35.150633
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
| License | State | Type | Specialty |
|---|---|---|---|
| S7471 | TX | MD | Military Health Care Provider |
| 058258 | GA | MD | Aerospace Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Floridian Emergency Specialists LLC | Emergency Medicine | Current | Accepting new patients |
| Osu Emergency Medicine LLC | Emergency Medical Services | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Ohio - Cincinnati Professional Corp | Emergency Medicine | Current | Accepting new patients |
| Emergency Physician Associates of Ohio, Inc | Emergency Medicine | Current | Accepting new patients |
| Osup Community Outreach LLC | Current | Accepting new patients | |
| Emergency Medicine Associates, P.a.,P.C. | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Osu Observation Medicine, LLC | Emergency Medicine | Current | 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.
-
- Emergency Medicine Physician
- Chillicothe, OH
- NPI 1508698739
-
- Emergency Medicine Physician
- Wilmington, OH
- NPI 1093059164
-
- Emergency Medical Services (Emergency Medicine) Physician
- Columbus, OH
- NPI 1699705681
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407095052
Emergency Medicine
-
- Internal Medicine Physician
- Dulles, VA
- NPI 1376917070
-
- Emergency Medicine Physician
- Melbourne, FL
- NPI 1710210695
-
- Neurology Physician
- Dublin, OH
- NPI 1699179929
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Washington Court House, OH
- NPI 1508978677
-
- General Acute Care Hospital
- Chillicothe, OH
- NPI 1902839673
-
- General Acute Care Hospital
- Lancaster, OH
- NPI 1467433763
-
- Critical Access Hospital
- Waverly, OH
- NPI 1720018971
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.