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

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: October 25, 2026.

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

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Jay Keller reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carle Health Medical Group
0.7 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300
Community Health Improvement Center
1.4 mi
Federally Qualified Health Center (FQHC)
1002 SOUTH RACE
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • 27 clinicians in this Medicare group
NPI 1023083227 (217) 239-4220
Hoopeston Community Memorial Hospital
37 mi
Rural Health
801 E ORANGE ST
Hoopeston, IL 60942
  • Reassigned Medicare billing, Illinois enrollment
  • 488 clinicians in this Medicare group
NPI 1578504544 (214) 283-5644
Siu Physicians & Surgeons, Inc
79 mi
Endocrinology, Diabetes & Metabolism
201 E MADISON ST STE 328
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 645 clinicians in this Medicare group
NPI 1558385989 (217) 545-8000
Board Of Trustees Of Southern Illinois University
79 mi
Primary Care
520 N 4TH ST
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 262 clinicians in this Medicare group
NPI 1396097960 (217) 757-8100

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

Hospital Affiliations CMS Care Compare

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

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
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3160
ANUJA BEDI D.O, M.P.H
Family Medicine
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3311
EMILY REMINGTON NP
Nurse Practitioner (Women's Health)
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3140
MAHMOUD ELRAKHAWY MD
Surgery (Vascular Surgery)
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 904-7000
KENDALL E WALLACE APRN
Nurse Practitioner (Family)
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3311
ANNE FAHNESTOCK PT
Physical Therapist
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3311
TIMTIM APPERSON APRN
Family Medicine
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 954-2805

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 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.

Where is Jay Keller located?

Jay Keller practices at 611 W Park St, Urbana, IL 61801. The listed phone number is (217) 383-3140.

What is Jay Keller's specialty?

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

Is Jay Keller enrolled in Medicare?

Yes. Jay 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 organizations bill Medicare for Jay Keller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jay Keller reassigns Medicare benefits to 5 organizations: Carle Health Medical Group (Urbana, IL), Community Health Improvement Center (Urbana, IL), Hoopeston Community Memorial Hospital (Hoopeston, IL), Siu Physicians & Surgeons, Inc (Springfield, IL) and Board Of Trustees Of Southern Illinois University (Springfield, IL). 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 Jay Keller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jay Keller affiliated with any hospitals?

According to CMS data, Jay Keller is affiliated with Carle Foundation Hospital.

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.