Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265497515 Individual Practitioner Male Practitioner

Dr. Richard L Keller , MD

Pediatrics • Peru, IN

Professional Overview & Biography Verified Profile Summary

Dr. Richard Keller, MD is a registered healthcare professional specializing in Pediatrics in Peru, IN. Practice services are available at 285 W 12TH ST STE 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

285 W 12th St Ste 102

Peru, IN 469701654

Telephone 7654724356
Fax 2604792927
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Peru, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Peru, IN (1179 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-09-15
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IN 01051573A

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200327580 (IN)

Secondary Practice Locations

1160 S Peru St

Cicero, IN 460349601

Phone: 3179843162

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1366407926

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location September 15, 2021

Registered at 285 W 12TH ST STE 102, PERU, IN 469701654 (Tel: 7654724356)

📍
Updated Business Mailing Address September 15, 2021

Registered at 6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 468047934 (Tel: 7654724356)

📍
Updated Practice Location June 21, 2019

Registered at 1160 S PERU ST, CICERO, IN 460349601 (Tel: 3179843162)

📍
Updated Business Mailing Address June 21, 2019

Registered at 250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 462194959 (Tel: 3179624792)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2019

Pediatrics (License #01051573A in IN)

NPI Profile Active July 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 16, 2015

Registered at 285 W 12TH ST, STE. 102, PERU, IN 469701653 (Tel: 7654724356)

📍
Updated Business Mailing Address July 16, 2015

Registered at 285 W 12TH ST, STE. 102, PERU, IN 469701653 (Tel: 7654724356)

👤
Provider Name / Credentials Updated July 16, 2015

Recorded as RICHARD KELLER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2015

Pediatrics (License #01051572A in IN)

🟢
Initial NPI Registration & Enumeration April 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265497515
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2006
Last Update: September 15, 2021
Sole Proprietor: No

Mailing Address

6920 Pointe Inverness Way Ste 200

Fort Wayne, IN 468047934

Phone: 7654724356

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.