Keith Emery Kellum, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

022479 Issued in LA

Practice address

446 Corporate Drive
Houma, LA 70360-3403

Phone

(985) 872-5577

Fax

(985) 868-4190

NPI assigned

Jul 14, 2005

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 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

Specialty

Ophthalmology

Education

Ohio State University College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Accurate Eye Care LLCGroup PAC ID 2264412667, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Physicians Medical Center Hospital, Houma, LA, CCN 190241

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: keith.kellum.p1@direct.sei.nextgenshare.com

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.

• Accurate Eye Care LLC

  • Ophthalmology Physician
  • Thibodaux, LA
  • NPI 1144418484
  Medicare reassignment Care Compare group NPD Authorized official
• Accurate Eye Care, LLC

  • Optometrist
  • Houma, LA
  • NPI 1477943868
  NPD Authorized official
• Thibodaux Laser and Surgery Center, LLC

  • Certified Registered Nurse Anesthetist
  • Thibodaux, LA
  • NPI 1275535148
  NPD (past)

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

• Physicians Medical Center, LLC

  • General Acute Care Hospital
  • Houma, LA
  • NPI 1477509859
  Care Compare affiliation

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225036023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 CORPORATE DRIVE",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603403",
            "telephone_number": "985-872-5577",
            "fax_number": "985-868-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 CORPORATE DRIVE",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603403",
            "telephone_number": "985-872-5577",
            "fax_number": "985-868-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLUM",
        "first_name": "KEITH",
        "middle_name": "EMERY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "022479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679640",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Just Health
• K Gerald Haydel MD Apc
• Camille Kee, MD
• Shannon Kelley, CRNA
• Joseph L Kellum Jr., MD
• Kelly Liner Derouen, LPC-S, LMFT, NCC, NCSC, Supervisor LLC
• Kelly Optometry, a Professional Corporation
• Alison Melissa Kennedy, DPT
• Terrez Kenner
• Christine Kenny

• Ophthalmology Physician in Houma, LA
• Providers in Houma, LA by specialty
• Ophthalmology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.