Individual provider Active NPI

Rebecca I Kellum, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Madison, WI
National Provider Identifier
1992894372
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
49401-020 Issued in WI
Practice address
345 W Washington Ave Ste 100
Madison, WI 53703-2996
Phone
(608) 417-8300
Fax
(608) 417-8301
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 49401-020 WI Primary
Internal Medicine Physician 207R00000X 49401-020 WI

Addresses

Primary practice location

345 W Washington Ave Ste 100
Madison, WI 53703-2996

Mailing address

202 S Park St
Madison, WI 53715-1507
Phone (608) 417-6000

Other identifiers 1

IdentifierTypeStateIssuer
1992894372MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061116000379 WI Practitioner - Internal Medicine 7416955901
I20210915003476 WI Practitioner - Hospitalist 7416955901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meriter Hospital IncGroup PAC ID 3971412735, 122 clinicians

Practice addresses (Care Compare)

202 S Park St
Madison, WI 53715-1507
Phone (608) 417-6000

Hospital & facility affiliations

  • Unitypoint Health - Meriter Hospital, Madison, WI, CCN 520089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49401-020WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meriter Hospital, Inc. Current Accepting new patients
Monarch Health Addiction Medicine CurrentSince Sep 1, 2021 Accepting new patients
Meriter Hospital, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Meriter Hospital, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Mercy Health System Corporation CurrentSince Aug 1, 2021 Accepting new patients
Mercy Health System Corporation CurrentSince Aug 1, 2021 Accepting new patients
Mercy Health System Corporation Current Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Elmhurst Memorial Healthcare PastSince May 25, 2021 Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535

202 S Park St
Madison, WI 53715
Phone (608) 267-6000

345 W Washington Ave
Ste 100
Madison, WI 53703
Phone (608) 417-8300

521 E Washington Ave
Madison, WI 53703
Phone (608) 669-5422

345 W Washington Ave
Ste 101
Madison, WI 53703

1015 Gammon Ln
Madison, WI 53719
Phone (608) 417-8144

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23045/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rkellum821777@direct.unitypoint.org

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1992894372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S PARK ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151507",
            "telephone_number": "608-417-6000",
            "fax_number": "608-417-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W WASHINGTON AVE STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537032996",
            "telephone_number": "608-417-8300",
            "fax_number": "608-417-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLUM",
        "first_name": "REBECCA",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "WI",
            "license": "49401-020",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "49401-020",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992894372",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.