CHAD MICHAEL KELLER PA
NPI 1487875209
Physician Assistant - Surgical in Evanston, IL
NPI Status: Active since May 01, 2007
Contact Information
2650 RIDGE AVE.
BURCH 100, CARDIAC SURGERY DIVISION
EVANSTON, IL
ZIP 60201
Phone: (847) 570-2859
Fax: (847) 570-2899
- Individual
- Male
- Physician Assistant
- Surgical
About CHAD KELLER
This page provides the complete NPI Profile along with additional information for Chad Keller, a provider established in Evanston, Illinois with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1487875209 assigned on May 2007. The practitioner's primary taxonomy code is 363AS0400X. The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1487875209
- Provider Name
- CHAD MICHAEL KELLER PA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2650 RIDGE AVE. BURCH 100, CARDIAC SURGERY DIVISION EVANSTON, IL 60201
- Location Phone
- (847) 570-2859
- Location Fax
- (847) 570-2899
- Mailing Address
- 2650 RIDGE AVE EVANSTON HOSPITAL EVANSTON, IL 60201
- Mailing Phone
- (847) 570-1206
- Mailing Fax
- (847) 570-2899
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-01-2007
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License State
- IL
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| S32150 | MEDICARE UPIN (02) | IL |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 8 | 7 | 8 | 7 | 5 | 2 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 16 | 7 | 16 | 7 | 10 | 2 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 6 + 7 + 1 + 6 + 7 + 1 + 0 + 2 + 0 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1487875209 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1154523355 | DR. STEPHEN JOSEPH SCHRANTZ JR. M.D. Individual | Internal Medicine (Infectious Disease) | 2650 RIDGE AVE. BURCH BLDG. RM 124 EVANSTON, IL 60201 (847) 570-1502 |
| 1407915952 | PHILIP G HORCHER MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 2650 RIDGE AVE. WALGREEN 1505 EVANSTON, IL 60201 (847) 570-2033 |
| 1306078498 | ANNA I. MCGOW M.D. Individual | Radiology (Diagnostic Radiology) | 2650 RIDGE AVE. DEPARTMENT OF RADIOLOGY EVANSTON, IL 60201 (847) 570-2475 |
| 1548581226 | DR. DAVID MICHAEL DICKERSON M.D. Individual | Anesthesiology (Pain Medicine) | 2650 RIDGE AVE. DEPARTMENT OF ANESTHESIA EVANSTON, IL 60201 (847) 570-2287 |
| 1194774166 | DR. HECTOR FERRAL M.D. Individual | Radiology (Vascular & Interventional Radiology) | 2650 RIDGE AVE. DEPT. OF RADIOLOGY EVANSTON, IL 60201 (847) 570-2475 |
| 1104866805 | JACOB SETH ECANOW MD Individual | Radiology (Diagnostic Radiology) | 2650 RIDGE AVE. DEPARTMENT OF RADIOLOGY EVANSTON, IL 60201 (847) 570-2475 |
| 1922150598 | DR. LINDA M. ERNST M.D. M.H.S. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 2650 RIDGE AVE. DEPARTMENT OF PATHOLOGY EVANSTON, IL 60201 (847) 570-2791 |
| 1407841414 | SIDNEY P. REGALADO M.D. Individual | Radiology (Diagnostic Radiology) | 2650 RIDGE AVE. DEPARTMENT OF RADIOLOGY EVANSTON, IL 60201 (847) 570-2160 |
| 1417159294 | DR. JOHN GROTH MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 2650 RIDGE AVE. DEPARTMENT OF PATHOLOGY EVANSTON, IL 60201 (847) 570-2730 |
| 1124229737 | LINDA M. WINKE APN-CNP Individual | Nurse Practitioner | 2650 RIDGE AVE. WALGREENS 3507 EVANSTON, IL 60201 (847) 570-1290 |
| 1245431014 | RENA L. SILVER APN-CNP Individual | Nurse Practitioner | 2650 RIDGE AVE. WALGREENS 3507 EVANSTON, IL 60201 (847) 570-2250 |
| 1720289416 | WENDY B. STROM APN-CNP Individual | Nurse Practitioner | 2650 RIDGE AVE. WALGREEN 3507 EVANSTON, IL 60201 (847) 570-2640 |
| 1639353998 | PATRICIA C. OTIS APN-CNP Individual | Nurse Practitioner | 2650 RIDGE AVE. WALGREENS 3507 EVANSTON, IL 60201 (847) 570-2640 |
| 1518219757 | AMANDA K. DOWNS APN-CNP Individual | Nurse Practitioner | 2650 RIDGE AVE. WALGREEN 3507 EVANSTON, IL 60201 (847) 570-2868 |
| 1225598022 | MRS. LINDSEY WEDER ZIMMERMAN APN-CRNA Individual | Nurse Anesthetist, Certified Registered | 2650 RIDGE AVE. DEPARTMENT OF ANESTHESIA EVANSTON, IL 60201 (847) 570-2760 |
| 1417334087 | DR. YASER SAJID HOSAIN DO Individual | Hospitalist | 2650 RIDGE AVE. IM HOSPITALISTS STE 4210 EVANSTON, IL 60201 (847) 570-1010 |
| 1376196006 | BRENNA SELENA LEIKER PA-C Individual | Physician Assistant (Medical) | 2650 RIDGE AVE. EMERGENCY MEDICINE EVANSTON, IL 60201 (847) 570-2114 |
| 1669590873 | JASON BENJAMIN KAPLAN MD Individual | Internal Medicine (Hematology) | 2650 RIDGE AVE. KELLOGG CANCER CENTER EVANSTON, IL 60201 (847) 570-2183 |
| 1639388226 | MARISA E. HILL MD Individual | Internal Medicine (Medical Oncology) | 2650 RIDGE AVE. KELLOGG CANCER CENTER EVANSTON, IL 60201 (847) 570-2112 |
| 1639470123 | DR. JEFFREY ALAN KATZ M.D. Individual | Anesthesiology | 2650 RIDGE AVE. DEPARTMENT OF ANESTHESIA EVANSTON, IL 60201 (847) 570-2760 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487875209, enumerated in the NPI registry as an "individual" on May 01, 2007
The provider is located at 2650 Ridge Ave. Burch 100, Cardiac Surgery Division Evanston, Il 60201 and the phone number is (847) 570-2859
The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 01, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.