Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Keith Haller, DO

Individual provider Anesthesiology Physician · NPI 1578884573

Dr. Keith Haller, DO is an Anesthesiology in New York, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2010, 16 years ago. Practices with Fpa Hospital Based, a 422-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
16
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2010
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1000 10th Ave
New York, NY 10019-1147
Phone: (212) 523-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 231 E Chestnut St, Louisville, KY 40202-1821 — (502) 629-6000
  • 515 W 59th St, New York, NY 10019-1047 — (917) 749-0339

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 280264-01 (NY)
Pediatric Anesthesiology Physician Taxonomy 207LP3000X · Licence 280264 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1578884573
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 14, 2010
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Also practisesPEDIATRIC MEDICINE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2010 (16 years in practice)
Group practice Fpa Hospital Based — 422 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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