Kornelia Kellogg, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R-10283 Issued in IA

Practice address

2501 Pierce St
Sioux City, IA 51104-3725

Phone

(712) 294-5000

Fax

(712) 294-5092

NPI assigned

Jun 4, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Altura Centers for HealthGroup PAC ID 9830103449, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Tulare Hospital, Tulare, CA, CCN 050784
• Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kornelia.kellogg.p1@direct.altura.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Altura Centers for Health

  • Federally Qualified Health Center (FQHC)
  • Tulare, CA
  • NPI 1023011632
  Medicare reassignment Care Compare group NPD
• Altura Centers for Health

  • Federally Qualified Health Center (FQHC)
  • Tulare, CA
  • NPI 1346486511
  NPD
• Altura Centers for Health

  • Federally Qualified Health Center (FQHC)
  • Tulare, CA
  • NPI 1629835426
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health Tulare

  • General Acute Care Hospital
  • Tulare, CA
  • NPI 1801366711
  Care Compare affiliation
• Kaweah Delta Health Care District

  • General Acute Care Hospital
  • Visalia, CA
  • NPI 1588663769
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1013397058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043725",
            "telephone_number": "712-294-5000",
            "fax_number": "712-294-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043725",
            "telephone_number": "712-294-5000",
            "fax_number": "712-294-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLOGG",
        "first_name": "KORNELIA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R-10283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Anne Keegan, CADC
• Christopher John Keller, RPH
• Megdalin Rose Keller
• Marty J Kelley, DPM
• Jeffrey L. Kellogg, DO
• Amanda Lynne Kelly
• Steven Alan Kelsey, DPT
• Kirk D Kempter, CRNA
• Carl Kendrick, DMD
• Roberta Kennedy

• Family Medicine Physician in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.