KEVIN E KELLER (MD) – Anesthesiology Physician, NPI 1083645824

KEVIN E KELLER (MD) is a healthcare provider. based in Grand junction, Colorado. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 45304 (CO). The NPI Number for KEVIN E KELLER (MD) is 1083645824

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN E KELLER (MD)
NPI
1083645824
Phone
(970) 243-7245
Address
1120 WELLINGTON AVE STE 206
Enumeration Date
6 July 2006
Last Update Date
4 September 2007

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9702982273
Graduation Year
2001 (25 years ago)
PAC ID
2062458524
Group Practice PAC ID
8921995754
Professional Enrollment ID
I20070430000119
Address ID
CO815018209GR2635XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,169 ANESTHESIOLOGY in CO

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Provider Addresses for KEVIN E KELLER (MD)

  • Wellington Avenue, Grand Junction, Mesa County, Colorado, 81504, United States

    GRAND JUNCTION, CO 815016131

    Phone: (970) 243-7245

    Fax: (970) 241-1308

    Type: Mailing

  • Saint Mary's Medical Center, 2635, North 7th Street, Grand Junction, Mesa County, Colorado, 81501, United States

    GRAND JUNCTION, CO 815018209

    Phone: (970) 244-2506

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-04-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070430000119IAnesthesiologyCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
64488Injection of local anesthetic for abdominal wall pain control on both sides using imaging guidance2828$0
00103Anesthesia for procedure on eyelid1313$0
00840Anesthesia for other procedure on lower abdomen1111$0
View full utilization report →

Insurance plans in this area (ZIP 81501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921995754View full group profile
NameSpecialtyState
Anesthesiology, Pain ManagementCO
A N E S T H E S I O L O G YCO
A N E S T H E S I O L O G YCO
A N E S T H E S I O L O G YCO
A N E S T H E S I O L O G YCO
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YCO
A N E S T H E S I O L O G YWI
A N E S T H E S I O L O G YCO

Reviews

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Frequently asked questions

Does KEVIN E KELLER (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KEVIN E KELLER (MD) uses 1083645824.
Is KEVIN E KELLER (MD) listed as active for patients and plans?
The listing shows KEVIN E KELLER (MD) as active in the NPI system.
What is KEVIN E KELLER (MD)'s primary classification?
Anesthesiology Physician is the headline specialty for KEVIN E KELLER (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect KEVIN E KELLER (MD) on a map?
Expect Grand Junction, Colorado as a primary anchor for KEVIN E KELLER (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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