Individual provider Active NPI

Emily Catherine Keller, M.D.

  • Dermatopathology Physician
  • Greenwood, IN
National Provider Identifier
1790928497
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
01072313A Issued in IN
Practice address
521 E County Line Rd Ste E
Greenwood, IN 46143-1066
Phone
(317) 215-0928
Fax
(317) 743-8148
NPI assigned
Apr 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 01072313A IN Primary

Addresses

Primary practice location

521 E County Line Rd Ste E
Greenwood, IN 46143-1066

Mailing address

521 E County Line Rd Ste E
Greenwood, IN 46143-1066
Phone (317) 215-0928

Other practice location 1

8936 Southpointe Dr
Suite B2
Indianapolis, IN 46227-7507
Phone (317) 215-0928

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ekeller@indyderm.ezderm.info Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2025 through Jan 1, 2027

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.22 of 100Reported as group
Quality
100
Promoting interoperability
97
Improvement activities
40
Cost
69.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01072313AINMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ekeller208999@ecommunitydirect.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1790928497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 E COUNTY LINE RD STE E",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431066",
            "telephone_number": "317-215-0928",
            "fax_number": "317-743-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E COUNTY LINE RD STE E",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431066",
            "telephone_number": "317-215-0928",
            "fax_number": "317-743-8148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8936 Southpointe Dr",
            "address_2": "Suite B2",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462277507",
            "country_code": "US",
            "telephone_number": "317-215-0928",
            "fax_number": "317-743-8148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "EMILY",
        "middle_name": "CATHERINE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-09",
        "last_updated": "2024-02-19",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "IN",
            "license": "01072313A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ekeller@indyderm.ezderm.info",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "ekeller@indyderm.ezderm.info",
            "address_1": "521 E County Line Rd Ste E",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461431066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.