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DR. SEAN JEFFREY KELLER MD
NPI 1013650936
Family Medicine in Wantagh, NY

Active since April 18, 2022PECOS EnrolledAccepts Medicare Assignment
2840 JERUSALEM AVE, WANTAGH, NY 11793(516) 781-1141(516) 781-1184 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sean Jeffrey Keller Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SEAN JEFFREY KELLER MD (NPI 1013650936) is an individual family medicine provider in Wantagh, New York, licensed in New York (340109-01) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1013650936
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SEAN JEFFREY KELLERCredential: MD
Location Address2840 JERUSALEM AVEWantagh, NY 11793-2017
Mailing Address1000 Montauk HwyWest Islip, NY 11795-4927 · Fax (631) 376-3420
Phone(516) 781-1141
Fax(516) 781-1184
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 18, 2022
Last NPPES UpdateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1013650936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 340109-01
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2840 JERUSALEM AVE, Wantagh, NY 11793
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sean Jeffrey Keller Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446609267
PECOS Enrollment IDI20260116003615
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Chsli St Joseph Hospital

Acute Care Hospitals · Bethpage, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330332
Location4295 Hempstead TurnpikeBethpage, NY 11714 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11793 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EAST MEADOW FAMILY PRACTICE ASSOC PC
Family Medicine
2840 JERUSALEM AVE
WANTAGH, NY 11793
Nassau County (516) 781-1141
JASMINEPREET CHOHAN MD
Family Medicine (Adult Medicine)
2840 JERUSALEM AVE
WANTAGH, NY 11793
Nassau County (516) 781-1141
GINA C GRECO DO
Family Medicine
2840 JERUSALEM AVE
WANTAGH, NY 11793
Nassau County (516) 781-1141
BRIAN T MOYNIHAN DO
Family Medicine
2840 JERUSALEM AVE
WANTAGH, NY 11793
Nassau County (516) 781-1141

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sean Keller's NPI number?

The NPI number for Sean Keller is 1013650936. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Where is Sean Keller located?

Sean Keller practices at 2840 Jerusalem Ave, Wantagh, NY 11793. The listed phone number is (516) 781-1141.

What is Sean Keller's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sean Keller enrolled in Medicare?

Yes. Sean Keller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Sean Keller affiliated with any hospitals?

According to CMS data, Sean Keller is affiliated with Good Samaritan Hospital Medical Center and Chsli St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Sean Keller was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.