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KELLER & GOODMAN MD, PA
NPI 1225168701
Internal Medicine - Gastroenterology in Tavares, FL

Active since March 06, 2007CLIA 10D2057102 · Certificate of Compliance
1879 NIGHTINGALE LN, SUITE C-2, TAVARES, FL 32778(352) 742-7776(352) 742-7750 Get Directions Write a Review

NPPES record last updated: July 8, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Keller & Goodman Md, Pa NPPES

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

KELLER & GOODMAN MD, PA (NPI 1225168701) is a healthcare organization registered as a gastroenterology in Tavares, Florida and active in the NPI registry since March 2007. The organization holds a CLIA Certificate of Compliance certificate valid through June 27, 2027 and lists Jeffrey Alan Goodman, Owner, as its authorized official.

NPPES Registry Identity

NPI1225168701
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameKELLER & GOODMAN MD, PA
Location Address1879 NIGHTINGALE LN, SUITE C-2Tavares, FL 32778-4363
Mailing Address1879 Nightingale Ln, Suite C-2Tavares, FL 32778-4363 · (352) 742-7776 · Fax (352) 742-7750
Phone(352) 742-7776
Fax(352) 742-7750
Organization SubpartNo
Authorized OfficialJeffrey Alan GoodmanOwner · (352) 742-7776
Enumeration DateMarch 6, 2007
Last NPPES UpdateJuly 8, 2008
✔ NPI 1225168701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME66294
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1879 NIGHTINGALE LN, Tavares, FL 32778
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN33071FL
Medicaid375405700FL
Other25425Blue Cross

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keller & Goodman Md, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Keller & Goodman MD, PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Jeffrey Goodman, MD
Gastroenterology
NPI 1871698613
1879 NIGHTINGALE LN STE C2
Tavares, FL 32778
(352) 742-7776
✔ PECOS✔ Accepts MedicareSame address
Chris Kechriotis, M.D.
Pathology
NPI 1891721627
1000 WATERMAN WAY
Tavares, FL 32778
(352) 253-3374
✔ PECOS✔ Accepts Medicare0.4 mi
Deborah Zeagler, M.D.
Pathology
NPI 1417991746
1000 WATERMAN WAY
Tavares, FL 32778
(352) 253-3374
✔ PECOS✔ Accepts Medicare0.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2057102

Keller & Goodman MD PA · Tavares, FL
Active · expires Jun 27, 2027
CLIA Number10D2057102
Laboratory TypePhysician Office
Certificate Effective DateJune 28, 2025
Certificate Expiration DateJune 27, 2027
Laboratory DirectorChris Kechriotis
Laboratory Phone(352) 742-7776
Laboratory LocationKeller & Goodman MD PA1879 Nightingale Ln Ste C-2, Tavares, FL 32778
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Keller & Goodman MD, PA's NPI number?

The NPI number for Keller & Goodman MD, PA is 1225168701. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Keller & Goodman MD, PA located?

Keller & Goodman MD, PA is located at 1879 Nightingale Ln Suite C-2, Tavares, FL 32778. The listed phone number is (352) 742-7776.

What is Keller & Goodman MD, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Keller & Goodman MD, PA enrolled in Medicare?

Yes. Keller & Goodman MD, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Keller & Goodman MD, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Keller & Goodman MD, PA, in Gastroenterology and Pathology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Keller & Goodman MD, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2057102) is associated with this NPI, valid through June 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Keller & Goodman MD, PA was last updated on July 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.