JACK D KELLER (M.D.) – Family Medicine Physician, NPI 1467636605

JACK D KELLER (M.D.) is a healthcare provider. based in Marion, Illinois. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 036056531 (IL). The NPI Number for JACK D KELLER (M.D.) is 1467636605

Main info

Male
Sole Proprietor
50 Years Of Experience
Accepts Medicare Assignment
Name
JACK D KELLER (M.D.)
NPI
1467636605
Phone
(618) 997-2919
Address
1008 W CHERRY ST STE F
Enumeration Date
24 December 2007
Last Update Date
20 February 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6189972248
Graduation Year
1976 (50 years ago)
PAC ID
1951457803
Group Practice PAC ID
1557376993
Professional Enrollment ID
I20090918000247
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for JACK D KELLER (M.D.)

  • 1008, West Cherry Street, Marion, Williamson County, Illinois, 62959, United States

    MARION, IL 629591998

    Phone: (618) 997-2919

    Fax: (618) 997-6851

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62959)

Loading plans...

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: 1557376993View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm JACK D KELLER (M.D.)'s NPI?
Yes. JACK D KELLER (M.D.) is listed with NPI 1467636605 in the public NPI dataset.
Is JACK D KELLER (M.D.) listed as active for patients and plans?
The listing shows JACK D KELLER (M.D.) as active in the NPI system.
What is JACK D KELLER (M.D.) best known for clinically?
Directory data describes JACK D KELLER (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is JACK D KELLER (M.D.) based?
JACK D KELLER (M.D.) is tied to Marion, Illinois in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

Similar Providers

DR. SUZANNE BURGE (MD)

Family Medicine Physician
4241 State Highway 14
NPI: 1467456798

MEMORIAL MANAGEMENT INC

Family Medicine Physician
3331, West Deyoung Street, Marion, Williamson County, Illinois, 62959, United States
NPI: 1720087950

DR. WAYNE O WELLS (M.D.)

Family Medicine Physician
1430, West Baddour Parkway, West End Heights, Lebanon, Wilson County, Tennessee, 37087, United States
NPI: 1780685743

DR. SEAN E MCCAIN (MD)

Family Medicine Physician
Professional Park Drive, Bainbridge, Marion, Williamson County, Illinois, 62933, United States
NPI: 1629050307

DR. JODI L FOX (M.D.)

Family Medicine Physician
3411, Professional Park Drive, Bainbridge, Marion, Williamson County, Illinois, 62959, United States
NPI: 1508848284

Heartland Regional Medical Center

Anesthesiology Physician
4000, Meridian Boulevard, Franklin, Williamson County, Tennessee, 37067, United States
NPI: 1356327282

DR. MATTHEW C WINKLEMAN (MD)

Family Medicine Physician
3106 Outer Dr
NPI: 1225018153

DR. CLINT G CONNOR (MD)

Hospitalist Physician
P O BOX 1105
NPI: 1982684197

DR. MESHACH VEDANAYAGAM SAMUEL

Family Medicine Physician
2401, West Main Street, Marion, Williamson County, Illinois, 62959, United States
NPI: 1124092341