MICHAEL G KELLER (DO) – Internal Medicine Physician, NPI 1417945734

MICHAEL G KELLER (DO) is a healthcare provider. based in Port neches, Texas. specializing in Internal Medicine Physician. They hold the professional credentials DO. They hold a License No. F1700 (TX). The NPI Number for MICHAEL G KELLER (DO) is 1417945734

Main info

Male
Sole Proprietor
48 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL G KELLER (DO)
NPI
1417945734
Phone
(409) 962-7606
Address
3133 SABA LN
Enumeration Date
11 October 2005
Last Update Date
31 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1978 (48 years ago)
PAC ID
7810946217
Professional Enrollment ID
I20110106000939
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MICHAEL G KELLER (DO)

  • 3133, Saba Lane, Port Neches, Jefferson County, Texas, 77651, United States

    PORT NECHES, TX 776515421

    Phone: (409) 962-7606

    Fax: (409) 962-6027

    Mailing address matches the actual address.

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: 2011-01-06

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
I20110106000939IInternal MedicineTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1918$0
View full utilization report →

Insurance plans in this area (ZIP 77651)

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Provider's Procedures

MICHAEL G KELLER (DO) performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINETX20610Aspiration and/or injection of large joint or joint capsule2414

Reviews

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Frequently asked questions

Does MICHAEL G KELLER (DO) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MICHAEL G KELLER (DO) uses 1417945734.
Can I rely on MICHAEL G KELLER (DO) being an active provider?
As of the registry snapshot, MICHAEL G KELLER (DO) is marked active.
What is MICHAEL G KELLER (DO)'s primary classification?
Internal Medicine Physician is the headline specialty for MICHAEL G KELLER (DO) here. Clinical services aligned with this taxonomy classification.
Where is MICHAEL G KELLER (DO) based?
MICHAEL G KELLER (DO) is tied to Port Neches, Texas in the data we show; additional addresses may exist on the full record.
Is the information about MICHAEL G KELLER (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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