ALEXANDER P. IV KELLER (M.D.) – Emergency Medicine Physician, NPI 1700845195
Emergency Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,673 EMERGENCY MEDICINE in OH
Provider Addresses for ALEXANDER P. IV KELLER (M.D.)
5519 COTTONROSE DR
DAYTON, OH 454311579
Phone: (706) 714-6878
Type: Mailing
88 MDG/SGH
WRIGHT-PATTERSON AFB, OH 45433
Phone: (937) 938-2758
Type: Location
601 State Route 664 N
Logan, OH 431388541
Phone: (740) 380-8000
Fax: (614) 293-2809
Type: Location
105 Trinity Pl
Athens, GA 306072112
Phone: (706) 549-9993
Type: Location
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 782365638
Phone: (706) 714-6878
Type: Location
3551 Roger Brooke Dr
Fort Sam Houston, TX 782344504
Phone: (210) 539-9582
Type: Location
105, Trinity Place, Moss Side, Athens, Athens-Clarke County, Georgia, 30607, United States
ATHENS, GA 306072112
Phone: (706) 549-9993
Type: Mailing
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: 2024-08-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140916001599 | I | Emergency Medicine | FL | TBD |
| I20221230000973 | I | Emergency Medicine | VA | TBD |
| I20240828001239 | I | Emergency Medicine | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 107 | 104 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 61 | 59 | $0 |
| 99291 | Critical care, first 30-74 minutes | 39 | 39 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 14 | 13 | $0 |
Insurance plans in this area (ZIP 45431)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | OH | |
| Emergency Medicine | OH | |
| Emergency Medicine | MI | |
| Emergency Medicine | OH | |
| Internal Medicine | WV | |
| Family Practice | TN | |
| Emergency Medicine, Family Practice | OH | |
| Nurse Practitioner | OH | |
| Emergency Medicine | OH | |
| Emergency Medicine | OH |
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