Active NPI
Rebecca I Kellum, MD
- Addiction Medicine (Internal Medicine) Physician
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- 49401-020
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992894372 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
202 S Park St
Madison, WI 53715-1507
Phone (608) 417-6000
Hospital & facility affiliations
- Unitypoint Health - Meriter
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49401-020 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meriter Hospital, Inc. | Current | Accepting new patients | |
| Monarch Health | Addiction Medicine | Current | Accepting new patients |
| Meriter Hospital, Inc. | Current | Accepting new patients | |
| Meriter Hospital, Inc. | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Elmhurst Memorial Healthcare | Past | 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
- https://api.platform.athenahealth.com/23045/brand/1/csg/1/fhir/r4
- 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.
-
- Psychiatric Hospital Unit
- Madison, WI
- NPI 1548280225
-
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- Rehabilitation Clinic/Center
- Madison, WI
- NPI 1073672556
-
- General Practice Physician
- Madison, WI
- NPI 1932572955
-
- Addiction Medicine (Internal Medicine) Physician
- Madison, WI
- NPI 1922627595
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Multi-Specialty Clinic/Center
- Elmhurst, IL
- NPI 1457493454
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Madison, WI
- NPI 1114920048
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.