CODY AUSTON KELLER MD
NPI 1326574633
Radiology - Diagnostic Radiology in San Diego, CA

Active since May 05, 2017PECOS Enrolled
200 W ARBOR DR, SAN DIEGO, CA 92103(858) 657-1200 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cody Auston Keller Md NPPES

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

CODY AUSTON KELLER MD (NPI 1326574633) is an individual diagnostic radiology provider in San Diego, California, licensed in California (A164123) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (2018).

NPPES Registry Identity

NPI1326574633
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameCODY AUSTON KELLERCredential: MD
Location Address200 W ARBOR DRSan Diego, CA 92103-9000
Mailing Address200 W Arbor Dr # 8756San Diego, CA 92103-1911 · (858) 761-8757
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2018
Enumeration DateMay 5, 2017
Last NPPES UpdateJuly 6, 2022
NPPES CertifiedJuly 6, 2022
✔ NPI 1326574633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CA · A164123
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
200 W ARBOR DR, San Diego, CA 92103

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cody Auston Keller Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234609413
PECOS Enrollment IDI20260528004096
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Cody Keller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
300 PASTEUR DRIVE
Stanford, CA 94305
  • Reassigned Medicare billing, California enrollment
  • 4,258 clinicians in this Medicare group
Children
725 WELCH RD
Palo Alto, CA 94304
  • Reassigned Medicare billing, California enrollment
  • 3,617 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Geriatric Medicine)
200 W ARBOR DR
SAN DIEGO, CA 92103
Hospice, Inpatient
200 W ARBOR DR
SAN DIEGO, CA 92103
Anesthesiology
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
Internal Medicine (Infectious Disease)
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner (Psychiatric/Mental Health)
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR
SAN DIEGO, CA 92103

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 Cody Keller's NPI number?

The NPI number for Cody Keller is 1326574633. It was assigned to this individual provider in the NPPES registry on May 5, 2017.

Where is Cody Keller located?

Cody Keller practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (858) 657-1200.

What is Cody Keller's specialty?

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

Is Cody Keller enrolled in Medicare?

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

Which organizations bill Medicare for Cody Keller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cody Keller reassigns Medicare benefits to 2 organizations: Stanford Health Care (Stanford, CA) and Lpch Medical Group Div Of Lucile (Palo Alto, CA). Each 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 Cody 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 Cody Keller was last updated on July 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.