1. Home
  2. Directory
  3. Maine
  4. Portland
  5. Family Medicine
  6. NPI Profile

DAVID D KELLER DO PC
NPI 1417428848
Family Medicine in Portland, ME

Active since December 11, 2018
195 FORE RIVER PKWY STE 470, PORTLAND, ME 04102(207) 347-3164(207) 899-3195 Get Directions Write a Review

NPPES record last updated: December 11, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About David D Keller Do Pc NPPES

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

DAVID D KELLER DO PC (NPI 1417428848) is a healthcare organization registered as a family medicine in Portland, Maine and active in the NPI registry since December 2018. The organization lists David D Keller, Owner, as its authorized official.

NPPES Registry Identity

NPI1417428848
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDAVID D KELLER DO PC
Location Address195 FORE RIVER PKWY STE 470Portland, ME 04102-2787
Mailing Address195 Fore River Pkwy Ste 470Portland, ME 04102-2787 · (207) 347-3164 · Fax (207) 899-3195
Phone(207) 347-3164
Fax(207) 899-3195
Organization SubpartNo
Authorized OfficialDavid D KellerOwner · (207) 347-3164
Enumeration DateDecember 11, 2018
✔ NPI 1417428848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X
195 FORE RIVER PKWY STE 470, Portland, ME 04102
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

David D Keller Do Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to David D Keller Do PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

David Keller, D.O
Family Practice
NPI 1861448201
1250 FOREST AVE
Portland, ME 04103
(207) 347-3164
✔ PECOS✔ Accepts Medicare2.9 mi

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

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 David D Keller Do PC's NPI number?

The NPI number for David D Keller Do PC is 1417428848. It was assigned to this organization in the NPPES registry on December 11, 2018.

Where is David D Keller Do PC located?

David D Keller Do PC is located at 195 Fore River Pkwy Ste 470, Portland, ME 04102. The listed phone number is (207) 347-3164.

What is David D Keller Do PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is David D Keller Do PC enrolled in Medicare?

Yes. David D Keller Do PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through David D Keller Do PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to David D Keller Do PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for David D Keller Do PC was last updated on December 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.