KELLI MARIE KELLER (MD) – Psychiatry Physician, NPI 1730207820

KELLI MARIE KELLER (MD) is a healthcare provider. based in Plainfield, Illinois. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 36117064 (IL). The NPI Number for KELLI MARIE KELLER (MD) is 1730207820

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
KELLI MARIE KELLER (MD)
NPI
1730207820
Phone
(815) 731-9100
Address
24600 W. 127TH ST
Enumeration Date
27 March 2007
Last Update Date
10 March 2009

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
5395837371
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20070822000836
Address ID
IL602011700EV2650XAVEX300
Telehealth
Yes
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

1,367 PSYCHIATRY in IL

Provider Addresses for KELLI MARIE KELLER (MD)

  • 24600 W. 127TH ST

    STE B325

    PLAINFIELD, IL 605859502

    Phone: (815) 731-9100

    Fax: (815) 731-9110

    Type: Mailing

  • 24600 W 127TH ST

    STE B325

    PLAINFIELD, IL 605859502

    Phone: (815) 731-9100

    Fax: (815) 731-9110

    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: 2007-08-22

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
I20070822000836IPsychiatryILTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes10226$0
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or3212$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3121$0
99214Established patient office or other outpatient visit, 30-39 minutes2216$0
View full utilization report →

Insurance plans in this area (ZIP 60585)

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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: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

How do I look up KELLI MARIE KELLER (MD) by NPI?
Use NPI 1730207820 when you need to reference KELLI MARIE KELLER (MD) in forms, claims, or directories.
Is KELLI MARIE KELLER (MD) active in the national directory?
KELLI MARIE KELLER (MD)'s public NPI profile is in an active state.
What field does KELLI MARIE KELLER (MD) work in?
You can think of KELLI MARIE KELLER (MD) as practicing within Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where is KELLI MARIE KELLER (MD)'s primary listing?
We display Plainfield, Illinois because that is what the record indicates for KELLI MARIE KELLER (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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