Individual provider Active NPI

Robert Tyson Keller, MD

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1962445346
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H4975 Issued in TX
Practice address
724 Pennsylvania Ave
Fort Worth, TX 76104-2221
Phone
(817) 336-1200
Fax
(817) 732-6597
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H4975 TX Primary

Addresses

Primary practice location

724 Pennsylvania Ave
Fort Worth, TX 76104-2221

Mailing address

301 Clifford Center Dr
Suite 115
Fort Worth, TX 76108-4443
Phone (817) 737-6552

Other practice location 1

909 9th Ave Ste 400
Fort Worth, TX 76104-3932
Phone (817) 725-7880

Other identifiers 6

IdentifierTypeStateIssuer
8P9720OtherTXINDIVIDUAL
P00149356OtherTXINDIVIDUAL
135403709MedicaidTX
172324901MedicaidTX
DC1238OtherTXRR GROUP
0063LZOtherTXBC GROUP

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414001380 TX Practitioner - Internal MedicinePractitioner - Emergency Medicine 9739173394 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Southern California Keck School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fort Worth Medical Specialists PLLCGroup PAC ID 2668797952, 5 clinicians
PPG Health PAGroup PAC ID 7113904657, 32 clinicians

Practice addresses (Care Compare)

724 Pennsylvania Ave
Fort Worth, TX 76104-2221
Phone (817) 336-1200

909 9TH Ave
Suite 400
Fort Worth, TX 76104-3932
Phone (817) 725-7880

Hospital & facility affiliations

  • Reliant at Home Home health agency, Fort Worth, TX, CCN 458178
  • Enhabit Home Health Home health agency, Fort Worth, TX, CCN 679167
  • DFW Home Health Home health agency, Fort Worth, TX, CCN 457575
  • Medical City Fort Worth Hospital, Fort Worth, TX, CCN 450672
  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Baylor Institute for Rehabilitation at Fort Worth Inpatient rehabilitation facility, Fort Worth, TX, CCN 673035

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H4975TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PPG Health, PA Internal Medicine CurrentSince Sep 21, 2020 Accepting new patients
Fort Worth Medical Specialists PLLC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Questcare Hospitalists PLLC Internal Medicine CurrentSince Jan 1, 2018 Accepting new patients
Weatherford Inpatient Physician Association, P. a. Internal Medicine Past Accepting new patients
Robert T Keller MD & Assco PA Internal Medicine PastSince Feb 1, 2004 Accepting new patients
Columbia Plaza Medical Center of Fort Worth Subsidiary LP Past Accepting new patients

Locations

2601 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 274-5571

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500

909 9th Ave
Ste 400
Fort Worth, TX 76104
Phone (817) 338-9291

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

724 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 336-1200

1000 W Cannon St
Ft Worth, TX 76104
Phone (817) 725-7900

900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

713 E Anderson St
Weatherford, TX 76086
Phone (682) 582-1000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AICBBD

Organizations & group practices 6

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 6

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1962445346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CLIFFORD CENTER DR",
            "address_2": "SUITE 115",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761084443",
            "telephone_number": "817-737-6552",
            "fax_number": "817-732-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042221",
            "telephone_number": "817-336-1200",
            "fax_number": "817-732-6597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 9th Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761043932",
            "country_code": "US",
            "telephone_number": "817-725-7880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "ROBERT",
        "middle_name": "TYSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H4975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "8P9720",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "P00149356",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135403709",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172324901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR GROUP",
            "identifier": "DC1238",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC GROUP",
            "identifier": "0063LZ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.