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Dr. Johnathan Michael Keller , DDS

Dentist β€’ Indianapolis, IN

Active NPI 1578912341 Individual Practitioner Male Practitioner
Practice location in NPPES

1130 W Michigan St, Fh204
Indianapolis, IN 462025209

Call 3172740076 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1130 W Michigan St
Fh204

Indianapolis, IN 462025209

Telephone 3172740076
Fax 3172740256
Organization at the Same NPPES Address or Phone
Sarahakard, D.d.s., P. C. Facility NPI 1356729883

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

30-day fills

435 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$1,749 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $125.05 across 3 records.

By nature of payment

  • Food and Beverage: $125.05 across 3 records.

Reporting-company totals

  • Carestream Dental, LLC: $58.00 across 1 record.
  • ZIMVIE INC.: $53.16 across 1 record.
  • Dentsply Sirona Inc: $13.89 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Keller has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Keller as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Indianapolis and Indiana

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Dentist in Indianapolis, IN (2024, 144 clinicians with data). Median for this group: 58. Middle half: 28 to 113.

More Part D prescriptions than 95% of clinicians listed under Dentist in Indiana (2024, 853 clinicians with data). Median for this group: 62. Middle half: 31 to 116.

Part D drug cost

A higher Part D drug cost than 95% of clinicians listed under Dentist in Indianapolis, IN (2024, 144 clinicians with data). Median for this group: $176. Middle half: $69 to $384.

A higher Part D drug cost than 95% of clinicians listed under Dentist in Indiana (2024, 853 clinicians with data). Median for this group: $165. Middle half: $70 to $355.

341 active clinicians are listed under Dentist with a practice address in Indianapolis, IN (1,583 in Indiana).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Indianapolis

0% of these 341 clinicians have the CMS telehealth indicator.

0.3% of these 341 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $125.05.

Manufacturer Payment Nature Product Type Amount ($)
Carestream Dental, LLC
Food and Beverage
In-kind items and services
β€” General $58.00
ZIMVIE INC.
Food and Beverage
In-kind items and services
TSX Implants General $53.16
Dentsply Sirona Inc
Food and Beverage
In-kind items and services
CAVITRON General $13.89

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin Amoxicillin 150 1,411 $550.95 119
Ibuprofen Ibuprofen 106 658 $317.15 93
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 102 226 $386.60 78
Diazepam Diazepam 21 21 $42.00 16
Clindamycin Hcl Clindamycin Hcl 20 217 $352.58 16
Chlorhexidine Gluconate Chlorhexidine Gluconate 19 408 $60.47 14
Hydroxyzine Pamoate Hydroxyzine Pamoate 17 18 $39.22 14

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-06-10
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES IN 12012526A

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Indiana Professional Licensing Agency.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
201375420 (IN)
Other Identifier Npi Type 1
1578912341 (IN)
Other Identifier Caqh
13885169 (IN)
Other Identifier In Dental License
12012526A (IN)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - DENTIST

Medicare Enrollment ID

I20160802001629

Enrollment State Jurisdiction

IN

PECOS Control ID

5890089619

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Brian Adams , MD

Anesthesiology - Pain Medicine

NPI 1326364738

Doctor of Medicine (M.D.)

Devon Amos , CAA

Anesthesiologist Assistant

NPI 1689448805
NPI 1891189841

Doctor of Medicine (M.D.)

NPI 1861952277

Doctor of Osteopathic Medicine (D.O.)

NPI 1013545540

Doctor of Medicine (M.D.)

NPI 1962638916

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Business Mailing Address June 10, 2020

Registered at 3715 KENTUCKY AVE, INDIANAPOLIS, IN 462212757 (Tel: 3179464464)

βœ…
NPI Profile Active June 12, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 12, 2016

Registered at 1130 W MICHIGAN ST, FH204, INDIANAPOLIS, IN 462025209 (Tel: 3172740076)

πŸ“
Business Mailing Address (Initial Record) June 12, 2016

Registered at 1130 W MICHIGAN ST, FH204, INDIANAPOLIS, IN 462025209 (Tel: 3172740076)

πŸ‘€
Provider Name / Credentials (Initial Record) June 12, 2016

Recorded as JOHNATHAN KELLER, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2016

Dentist (license number reported to NPPES: IN 12012526A)

🟒
Initial NPI Registration & Enumeration June 12, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1578912341
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2016
Last Update: June 10, 2020
Sole Proprietor: No

Other Dentists in Indianapolis

All Dentists in Indianapolis

Mailing Address

3715 Kentucky Ave

Indianapolis, IN 462212757

Phone: 3179464464

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.