Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Wade Robert Keller, D.O.
Dermatology Physician in Eagle, ID · enumerated 2007.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1942402169
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Registry record
Entity type Individual (Type 1)
Name Dr. Wade Robert Keller
Credential D.O.
Sex Male
Practice address 1605 E Riverside Dr, Eagle, ID, 83616
Phone (208) 939-6227
Fax (208) 939-6442
Enumeration date Jun 1, 2007
Last updated in NPPES Nov 3, 2022
Taxonomy & licenses
207ND0101X MOHS-Micrographic Surgery Physician Allopathic & Osteopathic Physicians · License O-0559 (ID) Secondary
207NS0135X Procedural Dermatology Physician Allopathic & Osteopathic Physicians · License O-0559 (ID) Secondary
DO — Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD.
About the DO credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.
Frequently asked questions
Is NPI 1942402169 active?
Yes — as of the latest NPPES snapshot, NPI 1942402169 is active (record last updated 2022-11-03).
How do I verify Wade Keller's NPI record?
Cross-check NPI 1942402169 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-11-03.