JAY S KELLER M.D.
NPI 1790760544
Obstetrics & Gynecology in Urbana, IL

Q: What is Jay Keller's NPI number?

The NPI number for Jay Keller is 1790760544. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Q: What is Jay Keller's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Jay Keller was last updated on April 17, 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.

Active since December 14, 2005PECOS EnrolledAccepts Medicare Assignment

611 W PARK ST, URBANA, IL 61801(217) 383-3140(217) 383-4966 Get Directions Write a Review

NPPES record last updated: April 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 17, 2020, Nov 8, 2017, Mar 3, 2016 (3 updates tracked since 2016).

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About Jay S Keller M.d. NPPES

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

JAY S KELLER M.D. (NPI 1790760544) is an individual obstetrics & gynecology provider in Urbana, Illinois, licensed in Illinois (036130109) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and maintains a secondary practice location in Decatur.

NPPES Registry Identity

NPI1790760544

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameJAY S KELLERCredential: M.D.

Location Address611 W PARK STUrbana, IL 61801-2529

Mailing Address611 W Park St, FapcUrbana, IL 61801

Phone(217) 383-3140

Fax(217) 383-4966

Sole ProprietorNo

Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1988

Enumeration DateDecember 14, 2005

Last NPPES UpdateApril 17, 20203 updates tracked since enumeration

NPPES CertifiedApril 17, 2020

✔ NPI 1790760544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in IL · 036130109✔ Licensed in AL · 16383

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

611 W PARK ST, Urbana, IL 61801

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Secondary Practice Location 1

Location 11 Memorial Drive, Suite 300Decatur, IL 62526-6322 · Phone (217) 872-2400 · Fax (217) 875-4680

Other Identifiers 6

Other1912966847AL · Medicaid Billing

Other51548375AL · Bcbs

Medicaid036130109IL

Other510I160042AL · Medicare Ptan

OtherD835AL · Medicare Group Pin

Medicaid101902AL

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

Jay S 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 ID9234119538

PECOS Enrollment IDI20120510000335

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140091

Location611 West Park StreetUrbana, IL 61801 · Champaign County

Emergency services Birthing friendly

Kirby Medical Center

Critical Access Hospitals · Monticello, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141301

Location1000 Medical Center DriveMonticello, IL 61856 · Piatt County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

DR. UDAY BHASKAR KANAKADANDI MD

Internal Medicine (Interventional Cardiology)

611 W PARK ST, HVI
URBANA, IL 61801

Champaign County (217) 383-3110

DR. VIKAS DESAI MD

Urology