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KELLUM PHYSICIAN PARTNERS, PA
NPI 1073880092
Obstetrics & Gynecology in San Antonio, TX

Active since November 18, 2011CLIA 45D2311621 · Accreditation
3903 WISEMAN BLVD, SUITE 215, SAN ANTONIO, TX 78251(210) 675-6724(210) 675-1759 Get Directions Write a Review

NPPES record last updated: April 7, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 holds an CLIA Accreditation certificate valid through September 24, 2026 and lists Daniel Hansford Kellum, President, as its authorized official.

NPPES Registry Identity

NPI1073880092
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameKELLUM PHYSICIAN PARTNERS, PA
Location Address3903 WISEMAN BLVD, SUITE 215San Antonio, TX 78251-4401
Mailing Address8870 Us Highway 87 ESan Antonio, TX 78263-2242 · (210) 648-0152 · Fax (210) 649-4170
Phone(210) 675-6724
Fax(210) 675-1759
Organization SubpartNo
Authorized OfficialDaniel Hansford KellumPresident · (210) 945-2121
Enumeration DateNovember 18, 2011
Last NPPES UpdateApril 7, 2015
✔ NPI 1073880092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · J0844
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedFamily MedicineTaxonomy 207Q00000X · License J1533 (TX)
3903 WISEMAN BLVD, San Antonio, TX 78251
Open in Google Maps ↗

Other Identifiers 2

Medicare PINTXB149979TX
Medicaid3009748-01TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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, TX
Active · expires Sep 24, 2026
CLIA Number45D2311621
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2024
Certificate Expiration DateSeptember 24, 2026
Laboratory DirectorDr. Thomas Lohmann
Laboratory Phone(210) 945-2121
Laboratory LocationKellum Physician Partners3701 Roy Richard Drive Suite 130, Schertz, TX 78154
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FORTITUDE PSYCHOTHERAPY
Counselor
3903 WISEMAN BLVD, STE #211
SAN ANTONIO, TX 78251
Bexar County (210) 381-6593
DR. JOHN HANSFORD KELLUM M.D.
Obstetrics & Gynecology
3903 WISEMAN BLVD, SUITE 215
SAN ANTONIO, TX 78251
Bexar County (210) 675-6724
BEXAR COUNTY HOSPITAL DISTRICT
Clinic/Center (Ambulatory Family Planning Facility)
3903 WISEMAN BLVD
SAN ANTONIO, TX 78251
Bexar County (210) 644-7850
MRS. CARLA LUISA BARBA NP
Nurse Practitioner (Women's Health)
3903 WISEMAN BLVD, SUITE 300
SAN ANTONIO, TX 78251
Bexar County (210) 426-3663
DR. MOLLY DUDLEY SHIELDS M.D.
Obstetrics & Gynecology
3903 WISEMAN BLVD, SUITE # 215
SAN ANTONIO, TX 78251
Bexar County (210) 675-6724
TRANQUILITY TMS CENTER PLLC
Psychiatry & Neurology (Psychiatry)
3903 WISEMAN BLVD, SUITE 211
SAN ANTONIO, TX 78251
Bexar County (210) 509-6000
PAULA BILICA D.O.
Obstetrics & Gynecology
3903 WISEMAN BLVD, SUITE 200
SAN ANTONIO, TX 78251
Bexar County (210) 684-4100
ALAMO WOMENS HEALTH PLLC
Obstetrics & Gynecology (Obstetrics)
3903 WISEMAN BLVD, #300
SAN ANTONIO, TX 78251
Bexar County (210) 426-3663

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 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.

Does Kellum Physician Partners, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D2311621) is associated with this NPI, valid through September 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 with the weekly NPPES data releases published by CMS.