I. Basil Keller, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

ME19360 Issued in FL

Legal business name

I. BASIL KELLER, M.D.

Practice address

1850 37TH St
Suite C
Vero Beach, FL 32960-4856

Phone

(772) 569-9611

Fax

(772) 569-9615

NPI assigned

Mar 12, 2015

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

I. BASIL KELLER,M.D.As reported in NPPES

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

Authorized official

Name

Dr. Irvin Basil Keller, M.D.

Title

Sole Proprietor

Phone

(772) 569-9611

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• I. BASIL KELLER,M.D. NEUROLOGICAL SURGEON, CLINICAL NEUROSCIENCE Other name

Tax ID family

I Basil Keller2 organizations share this tax ID, including this one

Part of

I Basil Keller

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• I. Basil Keller, M.D.

  • Neurological Surgery Physician
  • Vero Beach, FL
  • NPI 1184770521
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• I. Basil Keller, M.D.

  • Neurological Surgery Physician
  • Vero Beach, FL
  • NPI 1184770521
  NPPES parent name

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1821481912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1449",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329611449",
            "telephone_number": "772-569-9611",
            "fax_number": "772-569-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 37TH ST",
            "address_2": "SUITE C",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604856",
            "telephone_number": "772-569-9611",
            "fax_number": "772-569-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I. BASIL KELLER, M.D.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "I. BASIL KELLER,M.D.",
        "enumeration_date": "2015-03-12",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "IRVIN",
        "authorized_official_middle_name": "BASIL",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "772-569-9611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME19360",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME19360",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051314800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNPI",
            "identifier": "1821036492",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I. BASIL KELLER,M.D. NEUROLOGICAL SURGEON, CLINICAL NEUROSCIENCE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Omar David Hussamy, M.D.
• Leslie A Huszar, M.D.
• Crystal N Hutchinson, LCSW
• Thy Huynh
• I. Basil Keller, M.D.
• Daniela Andreina Ibarra, ARNP PMHNP-BC FNP-C
• Ibelieve Maternal Wellness & Counseling Center, Inc
• John Ickowski
• Adriana Iglesias
• Lubka B. Ilieva, D.O.

• Neurological Surgery Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.