NPIMap

Individual provider Active NPI

David D Keller, D.O

  • Family Medicine Physician
  • Portland, ME
National Provider Identifier
1861448201
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1819 Issued in ME
Practice address
1250 Forest Ave
Portland, ME 04103-1884
Phone
(207) 347-3164
Fax
(207) 878-5043
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1819 ME Primary

Addresses

Primary practice location

1250 Forest Ave
Portland, ME 04103-1884

Mailing address

1250 Forest Ave
Portland, ME 04103-1884
Phone (207) 347-3164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060824000065 ME Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 9032112446 Reassigns benefits to 2 organizations
Practice locations: Portland, ME

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Philadelphia College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Osteopathic Manipulative Medicine PCGroup PAC ID 2365796273, 8 clinicians

Practice addresses (Care Compare)

195 Fore River Pkwy
Suite 470
Portland, ME 04102-2787
Phone (207) 347-3164

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 347-3164

85 E St
South Portland, ME 04106-2870
Phone (207) 347-3164

Hospital & facility affiliations

  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1819MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Osteopathic Manipulative Medicine PC CurrentSince Jun 15, 2018 Accepting new patients
Mercy Hospital Past Accepting new patients
Maine Center for Lipids & Cardiovascular Health LLC Past Accepting new patients
Mercy Hospital Past Accepting new patients

Locations

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

195 Fore River Pkwy
Ste 470
Portland, ME 04102
Phone (207) 347-3164

Organizations & group practices 5

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.

Hospital & facility affiliations 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861448201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 FOREST AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031884",
            "telephone_number": "207-347-3164",
            "fax_number": "207-878-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 FOREST AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031884",
            "telephone_number": "207-347-3164",
            "fax_number": "207-878-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "DAVID",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "1819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.