Individual provider Active NPI

Tona J Keller, PA-C

  • Physician Assistant
  • Texas City, TX
National Provider Identifier
1902820780
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01832 Issued in TX
Practice address
6510 Memorial Dr
Texas City, TX 77591-4016
Phone
(409) 933-0733
Fax
(409) 933-9777
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01832 TX Primary

Addresses

Primary practice location

6510 Memorial Dr
Texas City, TX 77591-4016

Mailing address

PO Box 1263
Dickinson, TX 77539-1263
Phone (409) 933-0733

Other identifiers 2

IdentifierTypeStateIssuer
0053KDOtherTXBLUE CROSS BLUE SHIELD
DA0825OtherTXMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050209000367 TX Practitioner - Physician Assistant 6406807254 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group Gulf Coast PLLCGroup PAC ID 4688999022, 511 clinicians

Practice addresses (Care Compare)

646 FM 517 Rd W
Dickinson, TX 77539-3904
Phone (281) 218-7200

676 FM 517 Rd W
Dickinson, TX 77539-3904
Phone (713) 482-4535

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

Hospital & facility affiliations

  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast PLLC CurrentSince Aug 19, 2017 Accepting new patients
Inpatient Consultants of Texas, PLLC CurrentSince Nov 1, 2004 Accepting new patients
Inpatient Consultants of Texas, PLLC CurrentSince Nov 1, 2004 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Aug 19, 2017 Accepting new patients
Center for Primary Care Specialists, P.a. Past Accepting new patients

Locations

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

622 Highway 3
La Marque, TX 77568
Phone (409) 933-0733

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

300 Enterprise Ave
League City, TX 77573
Phone (281) 334-4243

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

3400 E Walnut St
Pearland, TX 77581
Phone (281) 485-2776

6800 Preston Rd
Plano, TX 75024
Phone (214) 473-3634

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

1501 N Amburn Rd
Ste 9
Texas City, TX 77591
Phone (281) 620-4902

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

1501 N Amburn Rd
Ste 7
Texas City, TX 77591

6807 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 908-9555

Interoperability endpoints

  • Direct secure messaging: tona.keller.2@8042.direct.athenahealth.com

Organizations & group practices 8

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 1

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1902820780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1263",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775391263",
            "telephone_number": "409-933-0733",
            "fax_number": "409-933-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 MEMORIAL DR",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775914016",
            "telephone_number": "409-933-0733",
            "fax_number": "409-933-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "TONA",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0053KD",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DA0825",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

Verify at the official NPI Registry.