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CHRISTIAN KELLER MD
NPI 1114778032
Radiology - Diagnostic Radiology in Salt Lake City, UT

Active since March 28, 2024PECOS Enrolled
30 N MARIO CAPECCHI, RM 2S100, SALT LAKE CITY, UT 84112(801) 581-7553 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Christian Keller Md NPPES

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

CHRISTIAN KELLER MD (NPI 1114778032) is an individual diagnostic radiology provider in Salt Lake City, Utah, licensed in Utah (14241864-1205) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1114778032
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameCHRISTIAN KELLERCredential: MD
Location Address30 N MARIO CAPECCHI, RM 2S100Salt Lake City, UT 84112
Mailing Address30 N Mario Capecchi, Rm 2s100Salt Lake City, UT 84112 · (801) 581-7553
Phone(801) 581-7553
Sole ProprietorNo
Enumeration DateMarch 28, 2024
Last NPPES UpdateNovember 13, 2025
NPPES CertifiedNovember 13, 2025
✔ NPI 1114778032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in UT · 14241864-1205
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
30 N MARIO CAPECCHI, Salt Lake City, UT 84112
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Secondary Practice Location 1

Location 11500 S Main StFort Worth, TX 76104-4917 · Phone (817) 702-1100

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christian Keller Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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.

ISABELLA MAKI
Emergency Medicine
30 N MARIO CAPECCHI, RM 2S200
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
JAMES MEINHARDT MD
Radiology (Diagnostic Radiology)
30 N MARIO CAPECCHI, RM 2S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
CHRISTINE MARIE JOHNSTAD MD
Radiology (Diagnostic Radiology)
30 N MARIO CAPECCHI, RM 2S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-7553
SETH THOMAS REINE MD
Radiology (Diagnostic Radiology)
30 N MARIO CAPECCHI, RM 2S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121

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 Christian Keller's NPI number?

The NPI number for Christian Keller is 1114778032. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Where is Christian Keller located?

Christian Keller practices at 30 N Mario Capecchi Rm 2s100, Salt Lake City, UT 84112. The listed phone number is (801) 581-7553.

What is Christian Keller's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Christian Keller enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Christian Keller was last updated on November 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.