Individual provider Active NPI

Robert Preston Keel, PA-C

  • Physician Assistant
  • Delta, UT
National Provider Identifier
1710433958
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8249709-1206 Issued in UT
Practice address
130 White Sage Ave
Delta, UT 84624-8928
Phone
(435) 864-2708
NPI assigned
Aug 28, 2016
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PT695 WY
Physician Assistant 363A00000X 8249709-1206 UT Primary

Addresses

Primary practice location

130 White Sage Ave
Delta, UT 84624-8928

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice location 1

1208 s river st
Saratoga, WY 82331
Phone (307) 326-8381

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC/ Office Ally

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161017002108 WY Practitioner - Physician Assistant 5890083307 Reassigns benefits to 2 organizations
I20260123002011 UT Practitioner - Physician Assistant 5890083307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

130 White Sage Ave
Delta, UT 84624-8928
Phone (435) 864-2708

2221 Elm St
Rawlins, WY 82301-5108
Phone (307) 324-2221

300 3Rd St
Rawlins, WY 82301-5612
Phone (307) 324-8494

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
33.71 of 100Reported as group
Quality
39.66
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
8249709-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Mar 9, 2026 Accepting new patients
Ihc Health Services Inc CurrentSince Mar 9, 2026 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Nov 20, 2017 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Nov 20, 2017 Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

130 White Sage Ave
Delta, UT 84624
Phone (435) 864-2708

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1000 N Main St
Ste B
Richfield, UT 84701
Phone (435) 289-2167

1300 SE Cardinal Ct
Ste 190
Vancouver, WA 98683
Phone (360) 448-4479

2012 Elm St
Rawlins, WY 82301
Phone (307) 234-0003

2221 Elm St
Rawlins, WY 82301
Phone (307) 324-2221

2221 Elm St
Ste B1
Rawlins, WY 82301

300 3rd St
Rawlins, WY 82301
Phone (307) 324-3403

Interoperability endpoints

  • Direct secure messaging: rkeel@yourcarecommunity.org

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1710433958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WHITE SAGE AVE",
            "city": "DELTA",
            "state": "UT",
            "postal_code": "846248928",
            "telephone_number": "435-864-2708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1208 s river st",
            "address_purpose": "LOCATION",
            "city": "Saratoga",
            "state": "WY",
            "postal_code": "82331",
            "country_code": "US",
            "telephone_number": "307-326-8381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEEL",
        "first_name": "ROBERT",
        "middle_name": "PRESTON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "PT695",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "8249709-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC/ Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Delta, UT

Sources for this page

Verify at the official NPI Registry.