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

Theppanya Ka Keolasy, MD

Individual provider Family Medicine Physician · NPI 1124028881

Theppanya Ka Keolasy, MD is a Family Practice in Roanoke, Indiana. Graduated from Indiana University School of Medicine in 2001, 25 years ago. Practices with Parkview Health System Inc, a 1,336-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
25
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

577 Geiger Dr Ste C
Roanoke, IN 46783-8877
Phone: (260) 672-5950
Fax: (260) 672-0939
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01058795A (IN)

Record details

NPI number1124028881
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2005
Last updated in NPPESDecember 22, 2022
Certification dateDecember 22, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Parkview Health System Inc — 1336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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