Individual provider Active NPI

Julia R Kellcy, D.O.

  • Internal Medicine Physician
  • New Braunfels, TX
National Provider Identifier
1265540793
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K5088 Issued in TX
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8F7697OtherTXINDIVIDUAL PTAN #
433161-01OtherTXKELLCY MEDICAL GROUP MEDICAID #
8CR078OtherTXBC/BS OF TEXAS
00343ROtherTXKELLCY MEDICAL GROUP MEDICARE NUMBER
OOY940OtherTXGROUP PTAN
1431736-01MedicaidTX
P00903522OtherTXRR MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050113000493 TX Practitioner - Hospice/Palliative CarePractitioner - Internal MedicinePractitioner - Pediatric Medicine 6305829748 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Pediatric Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians
Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians
Kellcy Medical Group PAGroup PAC ID 9739162165, 2 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic Internal Medicine Current Accepting new patients
Hendrick Provider Network CurrentSince Oct 1, 2020 Accepting new patients
Hendrick Provider Network Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Hendrick Medical Center CurrentSince Aug 6, 2018 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Nov 7, 2019 Accepting new patients
Scott & White Clinic Internal Medicine Current Accepting new patients
Kellcy Medical Group Internal Medicine CurrentSince Jun 16, 2024 Accepting new patients
Hendrick Medical Center Internal Medicine CurrentSince Aug 6, 2018 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Nov 7, 2019 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 PastSince Sep 1, 2024 Accepting new patients
Hope Hospice Hospice and Palliative Medicine PastSince May 1, 2021 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

  • Direct secure messaging: jkellcy43933@direct.sw.org
  • Direct secure messaging: julia.kellcy.1@11309.direct.athenahealth.com
  • Direct secure messaging: 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.

View all 15

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.