Active NPI
Daniel H Kellum Sr., DO
- Family Medicine Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E2252
- Practice address
- 7323 Marbach Rd Ste 104
San Antonio, TX 78227-1905 - Phone
- (210) 674-0257
- Fax
- (210) 369-9064
- NPI assigned
- Sep 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E2252 | TX | Primary |
Addresses
Primary practice location
7323 Marbach Rd Ste 104
San Antonio, TX 78227-1905
Mailing address
7323 Marbach Rd Ste 104
San Antonio, TX 78227-1905
Phone (210) 674-0257
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 193200000X | Other | TX | PRIMARY CARE GROUP TAXONOMY# |
| 00295N | Other | TX | MEDICARE GRP# |
| 1174518625 | Other | TX | DANIEL H. KELLUM, SR, DO / NPI# |
| 1508813494 | Other | TX | KELLUM MEDICAL GROUP, PA / NPI# |
| 207Q00000X | Other | TX | PROVIDER TAXONOMY# |
| H2252 | Other | TX | LICENSE# |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | kristi@kellummedical.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7323 Marbach Rd
Suite 104
San Antonio, TX 78227-1905
Phone (210) 674-0257
Hospital & facility affiliations
- Christus Vna Homecare San Antonio
- Accentcare Home Health of Texas
- Baptist Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kellum Medical Group, PA | Family Medicine | Current | Accepting new patients |
| Kellum Physician Partners, PA | Family Medicine | Past | Accepting new patients |
Locations
7323 Marbach Rd
Ste 104
San Antonio, TX 78227
Phone (210) 674-0257
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DBFJBA/Endpoint/DBFJBA
Organizations & group practices 2
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.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1508813494
-
- Obstetrics & Gynecology Physician
- San Antonio, TX
- NPI 1073880092
Family Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Antonio, TX
- NPI 1962926642
-
- Home Health Agency
- San Antonio, TX
- NPI 1396968491
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1174518625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7323 MARBACH RD STE 104",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782271905",
"telephone_number": "210-674-0257",
"fax_number": "210-369-9064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7323 MARBACH RD STE 104",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782271905",
"telephone_number": "210-674-0257",
"fax_number": "210-369-9064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLUM",
"first_name": "DANIEL",
"middle_name": "H",
"name_suffix": "Sr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "E2252",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIMARY CARE GROUP TAXONOMY#",
"identifier": "193200000X",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GRP#",
"identifier": "00295N",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DANIEL H. KELLUM, SR, DO / NPI#",
"identifier": "1174518625",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KELLUM MEDICAL GROUP, PA / NPI#",
"identifier": "1508813494",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER TAXONOMY#",
"identifier": "207Q00000X",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "H2252",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "kristi@kellummedical.com",
"affiliation": "N",
"endpointDescription": "Contract Management, Credentialing and Financial Services",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "7323 Marbach Rd Ste 104",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782271905",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.