Active NPI
Mark Ward Keller, MD
- Cardiovascular Disease Physician
- Aurora, CO
National Provider Identifier
1720074578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 31782
- Practice address
- 12605 E 16TH Ave
Aurora, CO 80045-2545 - Phone
- (720) 848-4000
- NPI assigned
- Sep 26, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 31782 | CO | Primary |
Addresses
Primary practice location
12605 E 16TH Ave
Aurora, CO 80045-2545
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Phone (303) 493-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01317825 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31782 | CO | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Denver Cardiology Associates PC | Cardiovascular Disease | Current | Accepting new patients |
| Rose Interpretation Group | Cardiovascular Disease | Past | Accepting new patients |
| Parker Ekg Interpretation LLP | Cardiovascular Disease | Past | Accepting new patients |
| Skyridge Ekg Interpretation Professional LLP | Cardiovascular Disease | Past | Accepting new patients |
| Healthone Heart Care LLC | Cardiovascular Disease | Past | Accepting new patients |
| Regional Ekg Interpretation Group | Cardiovascular Disease | Past | Accepting new patients |
Locations
1421 S Potomac St
Ste 40
Aurora, CO 80012
Phone (303) 298-1802
9397 Crown Crest Blvd
Parker, CO 80138
Phone (303) 840-1135
Interoperability endpoints
- https://api.platform.athenahealth.com/980/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Cardiovascular Disease Physician
- Aurora, CO
- NPI 1114918018
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Aurora, CO
- NPI 1982948089
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Parker, CO
- NPI 1679531966
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Aurora, CO
- NPI 1962460261
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Denver, CO
- NPI 1649238908
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Lone Tree, CO
- NPI 1508824863
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349308800000",
"number": "1720074578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110429",
"city": "AURORA",
"state": "CO",
"postal_code": "800420429",
"telephone_number": "303-493-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12605 E 16TH AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800452545",
"telephone_number": "720-848-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "MARK",
"middle_name": "WARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2012-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CO",
"license": "31782",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01317825",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.