Individual provider Active NPI

Daniel H Kellum Sr., DO

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1174518625
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E2252 Issued in TX
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

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
193200000XOtherTXPRIMARY CARE GROUP TAXONOMY#
00295NOtherTXMEDICARE GRP#
1174518625OtherTXDANIEL H. KELLUM, SR, DO / NPI#
1508813494OtherTXKELLUM MEDICAL GROUP, PA / NPI#
207Q00000XOtherTXPROVIDER TAXONOMY#
H2252OtherTXLICENSE#

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100305000437 TX Practitioner - Family Practice 7517991755 Reassigns benefits to 1 organization

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
Kellum Medical Group, PAGroup PAC ID 7416981659, 4 clinicians

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 Home health agency, San Antonio, TX, CCN 457777
  • Accentcare Home Health of Texas Home health agency, San Antonio, TX, CCN 679174
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Kellum Medical Group, PA Family Medicine CurrentSince May 1, 2000 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

  • FHIR API: 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.

Hospital & facility affiliations 3

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

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

Verify at the official NPI Registry.