NOAH E KELLER MD NPI 1376744599

NPI Information

NPI: 1376744599
Provider Name: NOAH E KELLER, MD
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
1600 EUREKA RD
ROSEVILLE, CA
ZIP 95661
Phone: (916) 784-4000
Get Directions

Noah E Keller, MD is a pediatric surgery surgery in Roseville, CA. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Noah E Keller, MD NPI is 1376744599. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1600 EUREKA RD
ROSEVILLE, CA
ZIP 95661-027
Phone: (916) 784-4000
Fax: (877) 738-4262

The NPI 1376744599 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/29/2007 and was last updated on 3/30/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		2007-01217	NORTH CAROLINA	No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	2086S0120X	Surgery	Pediatric Surgery	A117557	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5907236	MEDICAID	NORTH CAROLINA
2	N01218	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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