Individual provider Active NPI

Edwin Anderson Keel, MD

  • Family Medicine Physician
  • Oxford, AL
National Provider Identifier
1720067739
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13477 Issued in AL
Practice address
1612 US Highway 78 E
Suite 100
Oxford, AL 36203-5862
Phone
(256) 835-4756
Fax
(256) 831-5736
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 13477 AL
Family Medicine Physician 207Q00000X 13477 AL Primary

Addresses

Primary practice location

1612 US Highway 78 E
Suite 100
Oxford, AL 36203-5862

Mailing address

1612 Highway 78 E.
Suite 100
Oxford, AL 36203-5862
Phone (256) 835-4756

Other identifiers 1

IdentifierTypeStateIssuer
000079526MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060328000239 AL Practitioner - General PracticePractitioner - Emergency Medicine 8820040405 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Emergency Medicine
Education
Medical College of Georgia School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keel and AssociatesGroup PAC ID 4688666175, 3 clinicians

Practice addresses (Care Compare)

1612 Hamric Dr E
Suite 100
Oxford, AL 36203-8057
Phone 2568354756120

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions20
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13477ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keel and Associates CurrentSince Apr 6, 1998 Accepting new patients

Locations

1612 Hamric Dr E
Ste 100
Oxford, AL 36203
Phone (256) 835-4756

Organizations & group practices 2

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 1

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1720067739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 HIGHWAY 78 E.",
            "address_2": "SUITE 100",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362035862",
            "telephone_number": "256-835-4756",
            "fax_number": "256-831-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 US HIGHWAY 78 E",
            "address_2": "SUITE 100",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362035862",
            "telephone_number": "256-835-4756",
            "fax_number": "256-831-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEL",
        "first_name": "EDWIN",
        "middle_name": "ANDERSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "13477",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "13477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000079526",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, AL

Sources for this page

Verify at the official NPI Registry.