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

Katherine Keller

Individual provider Surgical Physician Assistant · NPI 1609505817

Katherine Keller is a Physician Assistant in Indianapolis, Indiana. Qualified in 2022, 4 years ago. Practices with Cooper Surgical Associates, PA, a 306-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

5203 Broadway St
Indianapolis, IN 46220-3135
Phone: (317) 504-9911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Cooper Plaza, Camden, NJ 08103-1461 — (800) 826-6737

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1609505817
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 6, 2022
Last updated in NPPESJune 6, 2022
Certification dateJune 6, 2022
Mailing address5203 Broadway St, Indianapolis, IN 46220-3135

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Cooper Surgical Associates, Pa — 306 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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