Meredith Keller

Individual provider Active NPI Rheumatology Physician · Albuquerque, NM

NPI 1780145300 · NPPES record last updated Feb 19, 2025

Key facts

NPI
1780145300
Entity type
Individual (NPI type 1)
Primary specialty
Rheumatology Physician 207RR0500X
License
DO2024-0039 (NM)
Practice address
4901 Lang Ave NE
Albuquerque, NM 87109-4397
Phone
(505) 842-8171
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Mexico Oncology Hematology Consultants LTD (66 clinicians)

Practice addresses (Care Compare)

4901 Lang Ave NE
New Mexico Cancer Center
Albuquerque, NM 87109-4397
Phone (505) 842-8171

Merit-based Incentive Payment System (MIPS)

Final score
88.51 of 100 (group)
Quality
93.17
Promoting interoperability
93
Improvement activities
40
Cost
74.35

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240722004112 NM Practitioner - Internal Medicine 2961838933 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
New Mexico Oncology Hematology Consultants, LTD. Current
since Aug 12, 2024
Accepting new patients

Locations

4901 Lang Ave NE
Ste 302
Albuquerque, NM 87109

4901 Lang Ave NE
Albuquerque, NM 87109
Phone (505) 828-3877

2240 College Dr
Gallup, NM 87301
Phone (505) 297-1052

Interoperability endpoints

  • Direct secure messaging: mkeller1264998@ahs.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DO2024-0039 NM
Rheumatology Physician 207RR0500X DO2024-0039 NM Yes

Addresses

Primary practice location

4901 Lang Ave NE
Albuquerque, NM 87109-4397

Mailing address

4901 Lang Ave NE
Albuquerque, NM 87109-4397

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 19, 2025.

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1780145300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 LANG AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 LANG AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094397",
            "telephone_number": "505-842-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "MEREDITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "DO2024-0039",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NM",
            "license": "DO2024-0039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Rheumatology Physician in New Mexico

Sources for this page

Verify at the official NPI Registry.