NPIMap

Individual provider Active NPI

Benjamin D Keeley, MD

  • Family Medicine Physician
  • Owensboro, KY
National Provider Identifier
1881694545
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30022 Issued in KY
Practice address
1325 Triplett St
Owensboro, KY 42303-3163
Phone
(270) 686-8500
Fax
(270) 685-5467
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 30022 KY Primary

Addresses

Primary practice location

1325 Triplett St
Owensboro, KY 42303-3163

Mailing address

PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 686-8500

Other identifiers 1

IdentifierTypeStateIssuer
64300221MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mkelley97790@direct.owensborohealth.org Owensboro Health Medical Group Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20110119000659 KY Practitioner - Family Practice 7719991280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Owensboro Health, IncGroup PAC ID 0547154650, shared by 9 NPIs, 179 clinicians

Practice addresses (Care Compare)

1006 Ford Ave
Owensboro, KY 42301-4677
Phone (270) 688-4845

1325 Triplett St
B
Owensboro, KY 42303-3163
Phone (270) 688-4325

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30022KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc CurrentSince Sep 1, 2015 Accepting new patients
Owensboro Health Medical Group, Inc Family Medicine CurrentSince Sep 1, 2015 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
LP Owensboro LLC Past Accepting new patients

Locations

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

1325 Triplett St
#B
Owensboro, KY 42303
Phone (270) 688-4235

1325 Triplett St
#A
Owensboro, KY 42303
Phone (270) 686-8500

1614 W Parrish Ave
Owensboro, KY 42301
Phone (270) 684-4559

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

1325 Triplett St
Owensboro, KY 42303
Phone (270) 686-8500

Organizations & group practices 4

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 9

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

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1881694545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-686-8500",
            "fax_number": "270-685-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 TRIPLETT ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033163",
            "telephone_number": "270-686-8500",
            "fax_number": "270-685-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELEY",
        "first_name": "BENJAMIN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "30022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64300221",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkelley97790@direct.owensborohealth.org",
            "affiliation": "Y",
            "affiliationName": "Owensboro Health Medical Group Inc",
            "address_1": "1325 Triplett St # A",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "42303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.