BENJAMIN ALAN KELLER M.D.
NPI 1285953364
Surgery - Pediatric Surgery in San Diego, CA
About Benjamin Alan Keller M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN ALAN KELLER M.D. (NPI 1285953364) is an individual pediatric surgery provider in San Diego, California, licensed in California (A118158) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (2010).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Benjamin Alan Keller M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Benjamin Keller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 562 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92123
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 Benjamin Keller's NPI number?
The NPI number for Benjamin Keller is 1285953364. It was assigned to this individual provider in the NPPES registry on May 27, 2010.
Where is Benjamin Keller located?
Benjamin Keller practices at 3030 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-7711.
What is Benjamin Keller's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.
Is Benjamin Keller enrolled in Medicare?
Yes. Benjamin 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.
Which organization bills Medicare for Benjamin Keller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Keller reassigns Medicare benefits to Rady Children's Hospital San Diego (San Diego, CA). The 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 Benjamin Keller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Benjamin Keller was last updated on July 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Benjamin Alan Keller, M.D. · NPI 1285953364
Pediatric Surgery physician in San Diego, California. Individual provider, active in the CMS NPPES registry since May 27, 2010.
## Identity
- **NPI:** 1285953364 (Entity type: Individual)
- **Enumerated:** May 27, 2010
- **Primary specialty:** Surgery - Pediatric Surgery · taxonomy 2086S0120X
- **State license:** A118158 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3030 CHILDRENS WAY, San Diego, CA 92123-4232
- **Phone:** (858) 966-7711
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Rady Children's Hospital San Diego (NPI 1669617197, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Wisconsin, class of 2010
## Record status
- **NPPES last updated:** July 14, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1285953364) · Data from the CMS NPPES public registry.