Daniel H Kellum Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J1533 Issued in TX

Practice address

3401 FM 3009
Schertz, TX 78154-2711

Phone

(210) 945-2121

Fax

(210) 945-2221

NPI assigned

Sep 8, 2005

Last updated

Apr 7, 2015By the provider in NPPES

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

Other identifiers 1

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

Specialty

Family Practice

Education

University of Texas Medical School at San Antonio, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kellum Physician Partners PAGroup PAC ID 1850553058, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advanced Home Health Services Home health agency, Seguin, TX, CCN 677247
• Connally Memorial Medical Center Hospital, Floresville, TX, CCN 450108

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kellum Physician Partners, PA

  • Obstetrics & Gynecology Physician
  • San Antonio, TX
  • NPI 1073880092

  Family Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Kellum Physician Partners, PA

  • Physician Assistant
  • San Antonio, TX
  • NPI 1215363544
  NPD

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

• Advanced HH, LLC

  dba Advanced Home Health Services

  • Home Health Agency
  • Seguin, TX
  • NPI 1598701716
  Care Compare affiliation
• Wilson County Memorial Hospital District

  • General Acute Care Hospital
  • Floresville, TX
  • NPI 1871599829
  Care Compare affiliation

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1205820990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8870 US HIGHWAY 87 E",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782632242",
            "telephone_number": "210-648-0152",
            "fax_number": "210-649-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 FM 3009",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542711",
            "telephone_number": "210-945-2121",
            "fax_number": "210-945-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLUM",
        "first_name": "DANIEL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J1533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133204105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonsan Home Health Inc
• Shannan Lee Jurina, RN
• Janice Kadri, NP
• Cynthia Ann Keeler
• Keely D Johnson PLLC
• Starlene Lenell Kenner
• Amy Lynn Kibe, LMT
• Tyler Dee Kidman, DC
• Kidney Support Nutrition by Tokiko LLC
• Patrick Neal Kimbrell, MD

• Family Medicine Physician in Schertz, TX
• Providers in Schertz, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.