KORNELIA KELLOGG D.O.
NPI 1013397058
Family Medicine in Sioux City, IA
About Kornelia Kellogg D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KORNELIA KELLOGG D.O. (NPI 1013397058) is an individual family medicine provider in Sioux City, Iowa, licensed in Iowa (R-10283) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kornelia Kellogg D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kornelia Kellogg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Woodville, CA 93257
- Reassigned Medicare billing, California enrollment
- 48 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 51104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 6
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SIOUX CITY, IA 51104
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kornelia Kellogg's NPI number?
The NPI number for Kornelia Kellogg is 1013397058. It was assigned to this individual provider in the NPPES registry on June 4, 2015.
Where is Kornelia Kellogg located?
Kornelia Kellogg practices at 2501 Pierce St, Sioux City, IA 51104. The listed phone number is (712) 294-5000.
What is Kornelia Kellogg's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kornelia Kellogg enrolled in Medicare?
Yes. Kornelia Kellogg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kornelia Kellogg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kornelia Kellogg reassigns Medicare benefits to Altura Centers For Health (Woodville, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kornelia Kellogg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kornelia Kellogg was last updated on June 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kornelia Kellogg, D.O. · NPI 1013397058
Family Medicine physician in Sioux City, Iowa. Individual provider, active in the CMS NPPES registry since June 4, 2015.
## Identity
- **NPI:** 1013397058 (Entity type: Individual)
- **Enumerated:** June 4, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** R-10283 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 2501 PIERCE ST, Sioux City, IA 51104-3725
- **Phone:** (712) 294-5000 · **Fax:** (712) 294-5092
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Altura Centers For Health (NPI 1932529831, Woodville, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** June 4, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1013397058) · Data from the CMS NPPES public registry.