NPIMap

Individual provider Active NPI

Weston Keller, M.D.

  • Surgery Physician
  • Greenville, SC
National Provider Identifier
1932558087
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
86012 Issued in SC
Practice address
905 Verdae Blvd Ste 202
Greenville, SC 29607-4098
Phone
(864) 522-2100
Fax
(864) 522-2105
NPI assigned
Jun 9, 2016
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 94-09032 KS
Surgery Physician 208600000X 86012 SC Primary

Addresses

Primary practice location

905 Verdae Blvd Ste 202
Greenville, SC 29607-4098

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8615

Other practice location 1

1010 N Kansas St
Wichita, KS 67214-3124
Phone (316) 293-2665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20220826001063 NE Practitioner - General Surgery 7719270610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Surgery Associates LLCGroup PAC ID 5092741330, 12 clinicians

Practice addresses (Care Compare)

1101 S 70TH St
Suite 100
Lincoln, NE 68510-4293
Phone (402) 483-4292

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.45 of 100Reported as individual
Quality
77.75
Promoting interoperability
99
Improvement activities
40
Cost
84.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy44
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)15
Upper gastrointestinal (GI) endoscopy for acid reflux56
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94-09032KSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Surgery Associates, LLC Surgery CurrentSince Sep 1, 2022 Accepting new patients
Gastroenterology Specialties, P.C. PastSince Sep 1, 2022 Accepting new patients
Bryan Medical Center Past Accepting new patients

Locations

1101 S 70th St
Ste 100
Lincoln, NE 68510
Phone (402) 483-4292

1301 Grundman Blvd
Nebraska City, NE 68410
Phone (402) 713-0110

2731 Healthcare Dr
Syracuse, NE 68446
Phone (402) 269-2011

Interoperability endpoints

  • Direct secure messaging: weston.keller.1@8817.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8817/brand/1/csg/1/fhir/r4
  • FHIR API: https://498f20c3-8d5e-4c38-b37b-2e5c29e690f9.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1932558087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 VERDAE BLVD STE 202",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074098",
            "telephone_number": "864-522-2100",
            "fax_number": "864-522-2105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 N Kansas St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672143124",
            "country_code": "US",
            "telephone_number": "316-293-2665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "WESTON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-09",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "94-09032",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "86012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.