Active NPI
Emily Catherine Keller, M.D.
- Dermatopathology Physician
- Greenwood, IN
National Provider Identifier
1790928497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- 01072313A
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
- Opted out of Medicare
- Yes, effective Jan 1, 2025 through Jan 1, 2027
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.22 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 01072313A | IN | MD | Dermatopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.