Active NPI
Julia R Kellcy, D.O.
- Internal Medicine Physician
- New Braunfels, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- K5088
- Practice address
- 204 Camp Willow Rd
New Braunfels, TX 78130-1805 - Phone
- (210) 857-5934
- Fax
- (830) 625-0353
- NPI assigned
- Aug 25, 2006
- Last updated
- Jul 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | K5088 | TX | Primary |
| Pediatrics Physician | 208000000X | K5088 | TX |
Addresses
Primary practice location
204 Camp Willow Rd
New Braunfels, TX 78130-1805
Mailing address
204 Camp Willow Rd
New Braunfels, TX 78130-1805
Phone (830) 627-9208
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8F7697 | Other | TX | INDIVIDUAL PTAN # |
| 433161-01 | Other | TX | KELLCY MEDICAL GROUP MEDICAID # |
| 8CR078 | Other | TX | BC/BS OF TEXAS |
| 00343R | Other | TX | KELLCY MEDICAL GROUP MEDICARE NUMBER |
| OOY940 | Other | TX | GROUP PTAN |
| 1431736-01 | Medicaid | TX | |
| P00903522 | Other | TX | RR MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jkellcy43933@direct.sw.org | 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
- Hospice/Palliative Care
- Education
- University of North Texas HSC, College of Osteopathic Med, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1020 S State Hwy 16
Frederickburg, TX 78624-4471
Phone (830) 997-4353
1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100
1900 Pine St
RM 2802
Abilene, TX 79601-2432
Phone (325) 670-7960
204 Camp Willow Rd
New Braunfels, TX 78130-1805
Phone (830) 627-9208
2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459
2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663
810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Clinic | Internal Medicine | Current | Accepting new patients |
| Hendrick Provider Network | Current | Accepting new patients | |
| Hendrick Provider Network | Internal Medicine | Current | Accepting new patients |
| Hendrick Medical Center | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Scott & White Clinic | Internal Medicine | Current | Accepting new patients |
| Kellcy Medical Group | Internal Medicine | Current | Accepting new patients |
| Hendrick Medical Center | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Texas, PA | Internal Medicine | Current | Accepting new patients |
| Hope Palliative Services | Past | Accepting new patients | |
| Methodist Healthcare System of San Antonio, LTD., L.L.P. | Past | Accepting new patients | |
| Scott & White Memorial Hospital | Past | Accepting new patients | |
| Lone Star Extensivists PLLC | Internal Medicine | Past | Accepting new patients |
| Hope Hospice | Hospice and Palliative Medicine | Past | Accepting new patients |
Locations
1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220
1900 Pine St
Rm 2802
Abilene, TX 79601
Phone (325) 670-7960
1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020
2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000
101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100
3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800
1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Interoperability endpoints
- jkellcy43933@direct.sw.org
- julia.kellcy.1@11309.direct.athenahealth.com
- julia.kellcy.2@11309.direct.athenahealth.com
Organizations & group practices 15
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.
-
- Internal Medicine Physician
- Abilene, TX
- NPI 1396961322
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
-
dba Baylor Scott & White Clinic - Temple
- Internal Medicine Physician
- Temple, TX
- NPI 1093779704
-
- Internal Medicine Physician
- New Braunfels, TX
- NPI 1881813806
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
-
- General Acute Care Hospital
- Abilene, TX
- NPI 1528064649
-
dba Hendrick Medical Center Physicians
- Internal Medicine Physician
- Abilene, TX
- NPI 1861498735
-
dba Hendrick Rural Health Clinic San Saba
- Rural Health Clinic/Center
- San Saba, TX
- NPI 1346044401
-
dba Simply Well Boutique Medicine
- Internal Medicine Physician
- New Braunfels, TX
- NPI 1740022730
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1649820796
-
- Community Based Hospice Care Agency
- New Braunfels, TX
- NPI 1982765244
Hospice and Palliative Medicine
-
- Pain Medicine Physician
- New Braunfels, TX
- NPI 1063505899
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christus Santa Rosa Hospital - New Braunfels
- General Acute Care Hospital
- New Braunfels, TX
- NPI 1114725033
-
dba Christus Santa Rosa Hospital - San Marcos
- General Acute Care Hospital
- San Marcos, TX
- NPI 1447883301
-
- General Acute Care Hospital
- Abilene, TX
- NPI 1528064649
-
dba Methodist Hospital Hill Country
- General Acute Care Hospital
- Fredericksburg, TX
- NPI 1376256354
-
dba Baylor Scott & White Medical Center - Temple
- General Acute Care Hospital
- Temple, TX
- NPI 1477516466
-
dba Kings's Daughters Hospital- Scott & White Healthcare
- General Acute Care Hospital
- Temple, TX
- NPI 1578502613
-
dba Suncrest Hospice
- Community Based Hospice Care Agency
- San Antonio, TX
- NPI 1508427121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1265540793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 CAMP WILLOW RD",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781301805",
"telephone_number": "830-627-9208",
"fax_number": "830-625-0353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 CAMP WILLOW RD",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781301805",
"telephone_number": "210-857-5934",
"fax_number": "830-625-0353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLCY",
"first_name": "JULIA",
"middle_name": "R",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "K5088",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "K5088",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL PTAN #",
"identifier": "8F7697",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KELLCY MEDICAL GROUP MEDICAID #",
"identifier": "433161-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF TEXAS",
"identifier": "8CR078",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KELLCY MEDICAL GROUP MEDICARE NUMBER",
"identifier": "00343R",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "OOY940",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1431736-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00903522",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jkellcy43933@direct.sw.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2401 S 31st St",
"city": "Temple",
"state": "TX",
"country_code": "US",
"postal_code": "765084135",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.