William Keith Kellum II

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD.205914 Issued in LA

Practice address

3600 Florida Blvd
Baton Rouge, LA 70806-3842

Phone

(225) 387-7070

NPI assigned

Apr 29, 2010

Sex

Male

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 LA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Baton Rouge Clinic, a Medical Corporation

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1871546911
  Medicare reassignment NPD
• Baton Rouge General Physicians, Inc.

  dba Louisiana Cardiology Associates at Baton Rouge General

  • Obstetrics Physician
  • Baton Rouge, LA
  • NPI 1609134766

  Internal Medicine

  Medicare reassignment NPD
• Baton Rouge Clinic, a Medical Corporation

  dba Baton Rouge Clinic Eye Care

  • Ophthalmology Physician
  • Baton Rouge, LA
  • NPI 1528941655
  NPD
• Baton Rouge General Physicians, Inc.

  dba BRGP Louisiana Sleep Foundation

  • Sleep Medicine (Internal Medicine) Physician
  • Baton Rouge, LA
  • NPI 1518688985
  NPD
• Hospice Foundation of Greater Baton Rouge

  dba Hospice of Baton Rouge

  • Community Based Hospice Care Agency
  • Baton Rouge, LA
  • NPI 1689642589
  NPD (past)

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1073830055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063842",
            "telephone_number": "225-387-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063842",
            "telephone_number": "225-387-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLUM",
        "first_name": "WILLIAM",
        "middle_name": "KEITH",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-29",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.205914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John B Kelley, PT
• Mary Lou Kelley, PH.D.
• Patricia Anne Kelley, MSN, APRN, PMHNP-BC
• Shawn Ryan Kelley, RPH
• Steven Earnel Kelley, MD
• Kelly Optometry, a Professional Corporation
• Blythe Kelly-Atol
• Alicia Kelly
• Amber Kelly
• Brooke Kelly

• Internal Medicine Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.