KELLUM PHYSICIAN PARTNERS, PA
NPI 1073880092
Obstetrics & Gynecology in San Antonio, TX
About Kellum Physician Partners, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLUM PHYSICIAN PARTNERS, PA (NPI 1073880092) is a healthcare organization registered as an obstetrics & gynecology in San Antonio, Texas and active in the NPI registry since November 2011. The organization lists Daniel Hansford Kellum, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kellum Physician Partners, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
21Medicare enrollment records show 21 clinicians reassign Medicare billing to Kellum Physician Partners, PA, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 21Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 45D2311621
Kellum Physician Partners · Schertz, TXFrequently 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 Kellum Physician Partners, PA's NPI number?
The NPI number for Kellum Physician Partners, PA is 1073880092. It was assigned to this organization in the NPPES registry on November 18, 2011.
Where is Kellum Physician Partners, PA located?
Kellum Physician Partners, PA is located at 3903 Wiseman Blvd Suite 215, San Antonio, TX 78251. The listed phone number is (210) 675-6724.
What is Kellum Physician Partners, PA's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Kellum Physician Partners, PA enrolled in Medicare?
Yes. Kellum Physician Partners, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kellum Physician Partners, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 5 Medicare specialties reassign their Medicare billing to Kellum Physician Partners, PA. A 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 the clinician's services. The largest specialties are Nurse Practitioner (11), Family Practice (4) and Obstetrics/Gynecology (3). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Kellum Physician Partners, PA accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Kellum Physician Partners, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kellum Physician Partners, PA was last updated on April 7, 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.
# Kellum Physician Partners, Pa · NPI 1073880092
Obstetrics & Gynecology organization in San Antonio, Texas. Organization record, active in the CMS NPPES registry since November 18, 2011.
## Identity
- **NPI:** 1073880092 (Entity type: Organization)
- **Enumerated:** November 18, 2011
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** Daniel Kellum, PRESIDENT
## Practice location
- **Address:** 3903 WISEMAN BLVD, SUITE 215, San Antonio, TX 78251-4401
- **Phone:** (210) 675-6724 · **Fax:** (210) 675-1759
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 21 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Family Practice (4), Obstetrics/Gynecology (3); 10 practice within 10 miles; [full list](https://npiprofile.com/npi/1073880092/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 7, 2015
- **Other identifiers:** Medicare PIN TXB149979 (TX); Medicaid 3009748-01 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073880092) · Data from the CMS NPPES public registry.