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MR. JOSH KELLER MPAS
NPI 1043404577
Physician Assistant - Medical in Honolulu, HI

Active since August 28, 2007PECOS Enrolled
1 JARRETT WHITE RD, HONOLULU, HI 96814(808) 466-6224 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 8, 2021, Feb 1, 2016 (2 updates tracked since 2016).

About Mr. Josh Keller Mpas NPPES

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

MR. JOSH KELLER MPAS (NPI 1043404577) is an individual medical provider in Honolulu, Hawaii, licensed in Wisconsin (2153-023) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1043404577
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JOSH KELLERCredential: MPAS
Location Address1 JARRETT WHITE RDHonolulu, HI 96814
Mailing Address1 Jarrett White RdTripler Army Medical Center, HI 96859-5001 · (808) 433-6224
Phone(808) 466-6224
Sole ProprietorNo
Enumeration DateAugust 28, 2007
Last NPPES UpdateSeptember 8, 20212 updates tracked since enumeration
NPPES CertifiedAugust 20, 2021
✔ NPI 1043404577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WI · 2153-023
1 JARRETT WHITE RD, Honolulu, HI 96814
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Secondary Practice Location 1

Location 15000 W National AveMilwaukee, WI 53295-0001 · Phone (414) 384-2000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Josh Keller Mpas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Josh Keller's NPI number?

The NPI number for Josh Keller is 1043404577. It was assigned to this individual provider in the NPPES registry on August 28, 2007.

Where is Josh Keller located?

Josh Keller practices at 1 Jarrett White Rd, Honolulu, HI 96814. The listed phone number is (808) 466-6224.

What is Josh Keller's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Josh Keller enrolled in Medicare?

Yes. Josh Keller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Josh Keller was last updated on September 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.