John Hansford Kellum, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

J0844 Issued in TX

Practice address

3903 Wiseman Blvd
Suite 215
San Antonio, TX 78251-4401

Phone

(210) 675-6724

Fax

(210) 675-1759

NPI assigned

Sep 19, 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 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

Obstetrics/Gynecology

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kellum Physician Partners PAGroup PAC ID 1850553058, 17 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Kellum Physician Partners, PA

  • Obstetrics & Gynecology Physician
  • San Antonio, TX
  • NPI 1073880092
  Medicare reassignment Care Compare group NPD
• Corpus Christi Womens Care Center, Inc

  • Obstetrics & Gynecology Physician
  • Corpus Christi, TX
  • NPI 1588970305
  Medicare reassignment NPD
• Lone Star OB/GYN Associates, P.a.

  • Obstetrics & Gynecology Physician
  • San Antonio, TX
  • NPI 1063441921
  Medicare reassignment NPD
• Obhg Texas Holdings, P.a.

  • Obstetrics & Gynecology Physician
  • Austin, TX
  • NPI 1083917769
  Medicare reassignment NPD
• Premier OB-GYN of Texas LLC

  • Obstetrics & Gynecology Physician
  • San Antonio, TX
  • NPI 1225807530
  Medicare reassignment NPD
• Southside Women'S Center, P.a.

  • Specialist
  • Corpus Christi, TX
  • NPI 1619016664
  Medicare reassignment NPD
• Methodist Healthcare System of San Antonio, LTD., L.L.P.

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1124074273
  NPD (past)

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1255326989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8920 US HIGHWAY 87 E",
            "address_2": "STE.# 3",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782632238",
            "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": "3903 WISEMAN BLVD",
            "address_2": "SUITE 215",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514401",
            "telephone_number": "210-675-6724",
            "fax_number": "210-675-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLUM",
        "first_name": "JOHN",
        "middle_name": "HANSFORD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J0844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115386801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kellum Physician Partners, PA
• Alexandra Cortez Kellum, DO
• Ashley Renee Kellum, RBT
• Daniel H Kellum Sr., DO
• Denise Kellum, PA-C
• Dalisa Kelly Bacon
• Carol Ann Kelly Dilworth, L.B.S.W
• Kelly J Smith MD PA
• Kelly J Smith MD PA
• Sophronia Dee Kelly-Zion, LCSW

• Obstetrics & Gynecology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.
• 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.