1. Home
  2. Directory
  3. Ohio
  4. Dayton
  5. Physician Assistant
  6. NPI Profile

TARA RENEE KELLER
NPI 1972488435
Physician Assistant in Dayton, OH

Active since August 06, 2025PECOS Enrolled
4340 CLYO RD, DAYTON, OH 45459(937) 534-7330 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jul 28, 2026, Aug 6, 2025 (2 updates tracked since 2025).

About Tara Renee Keller NPPES

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

TARA RENEE KELLER (NPI 1972488435) is an individual physician assistant in Dayton, Ohio, licensed in Ohio (1248198) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972488435
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTARA RENEE KELLER
Location Address4340 CLYO RDDayton, OH 45459-7000
Mailing Address356 N Haas StFrankenmuth, MI 48734-1106 · (989) 293-4806
Phone(937) 534-7330
Sole ProprietorNo
Enumeration DateAugust 6, 2025
Last NPPES UpdateJuly 28, 20262 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1972488435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · 1248198
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4340 CLYO RD, Dayton, OH 45459
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara Renee Keller is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45459 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 2

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

HOLLY GRIFFIN PA-C
Physician Assistant
4340 CLYO RD
DAYTON, OH 45459
Montgomery County (937) 534-7330
ANDREW JAMES PETRY PA-C
Physician Assistant
4340 CLYO RD
DAYTON, OH 45459
Montgomery County (937) 534-7330

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 Tara Keller's NPI number?

The NPI number for Tara Keller is 1972488435. It was assigned to this individual provider in the NPPES registry on August 6, 2025.

Where is Tara Keller located?

Tara Keller practices at 4340 Clyo Rd, Dayton, OH 45459. The listed phone number is (937) 534-7330.

What is Tara Keller's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tara Keller enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tara Keller was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.