Gary Keller, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO2364 Issued in FL

Practice address

777 E 25TH St
Suite 112
Hialeah, FL 33013-3804

Phone

(305) 696-3444

Fax

(305) 693-6656

NPI assigned

Jan 19, 2006

Last updated

Oct 22, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Foot and Ankle Associates, LLC.Group PAC ID 8628173465, 24 clinicians

Nova Medical Services - Wound Care Division LLCGroup PAC ID 6709280324, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hialeah Hospital Hospital, Hialeah, FL, CCN 100053

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida Foot & Ankle Associates, LLC

  • Podiatrist
  • Miami Beach, FL
  • NPI 1861506479

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• Nova Medical Services - Wound Care Division LLC

  dba NWC

  • Family Medicine Physician
  • Miami, FL
  • NPI 1578145793
  Medicare reassignment Care Compare group NPD
• Nova Medical Services - Podiatry Division LLC

  • Podiatrist
  • Miami, FL
  • NPI 1457134827
  Medicare reassignment NPD
• Gary Keller DPM Ms PA

  • Podiatrist
  • Hialeah, FL
  • NPI 1548270473
  Authorized official Same address or phone
• Florida Foot & Ankle Associates LLC

  • Podiatrist
  • Miami, FL
  • NPI 1700543345

  Foot & Ankle Surgery

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hsa HH LLC

  dba Hialeah Hospital

  • General Acute Care Hospital
  • Hialeah, FL
  • NPI 1235966276
  Care Compare affiliation

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1851371587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 NW 27 ST",
            "address_2": "STE 108",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221906",
            "telephone_number": "786-662-3893",
            "fax_number": "786-662-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST",
            "address_2": "SUITE 112",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133804",
            "telephone_number": "305-696-3444",
            "fax_number": "305-693-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390168800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kbrito LLC
• KCM Health Care Inc (KCM Health Care)
• Keidy Homecare Services Inc
• Keidy Torna Behavior Services Corp.
• Keko Jones Investment (palm breeze assited living facility)
• Enrique Alfonzo Kelly
• Kenneth Strubbe, MD, PA
• Kentucky Medical Services Inc
• Keri M Pomella OD PA
• Keri M Pomella, OD PA

• Foot & Ankle Surgery Podiatrist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.
• 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.

Verify at the official NPI Registry.