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
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
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
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240722004112 | NM | Practitioner - Internal Medicine | 2961838933 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Mexico Oncology Hematology Consultants, LTD. | Current |
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
- mkeller1264998@ahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- James Kelemen
- America Elizabeth Kelleher
- Adam D. Keller
- Destiny C Keller
- Karolayn Keller
- Rebecca Lynn Keller
- Stephen C Keller
- Evoanna Kileen Kelley Correa
- Gretchen Marie Kelley
- Isabella Kelley
All providers in Albuquerque, NM · Rheumatology Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.