BENJAMIN ALAN KELLER M.D.
NPI 1285953364
Surgery - Pediatric Surgery in San Diego, CA

Active since May 27, 2010PECOS EnrolledAccepts Medicare Assignment
3030 CHILDRENS WAY, SAN DIEGO, CA 92123(858) 966-7711 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1285953364
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameBENJAMIN ALAN KELLERCredential: M.D.
Location Address3030 CHILDRENS WAYSan Diego, CA 92123-4232
Mailing Address3020 Childrens Way # Mc5003San Diego, CA 92123-4223 · (858) 309-6300
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2010
Enumeration DateMay 27, 2010
Last NPPES UpdateJuly 14, 2020
NPPES CertifiedJuly 14, 2020
NPI 1285953364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License Licensed in CA · A118158
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedSurgeryTaxonomy 208600000X · License A118158 (CA)
3030 CHILDRENS WAY, San Diego, CA 92123

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

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.

PECOS PAC ID8527487941
PECOS Enrollment IDI20201002001744
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.

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.

Allergy & Immunology
3030 CHILDRENS WAY
SAN DIEGO, CA 92123
Orthopaedic Surgery
3030 CHILDRENS WAY
SAN DIEGO, CA 92123
Orthopaedic Surgery
3030 CHILDRENS WAY, SUITE 410
SAN DIEGO, CA 92123
Ophthalmology
3030 CHILDRENS WAY, SUITE 109
SAN DIEGO, CA 92123
Pediatrics (Pediatric Gastroenterology)
3030 CHILDRENS WAY
SAN DIEGO, CA 92123
Pediatrics
3030 CHILDRENS WAY, SUITE 213
SAN DIEGO, CA 92123
Orthopaedic Surgery
3030 CHILDRENS WAY, SUITE 410
SAN DIEGO, CA 92123
Nurse Practitioner (Pediatrics)
3030 CHILDRENS WAY, STE 410
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.

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.