MARK E KELLAM MD
NPI 1356346449
Emergency Medicine in Cincinnati, OH
About Mark E Kellam Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK E KELLAM MD (NPI 1356346449) is an individual emergency medicine provider in Cincinnati, Ohio, licensed in Ohio (35076218) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Accepted Insurance
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
Mark E Kellam Md 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 Reassignments
4Medicare enrollment records show Mark Kellam reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Martin, SD 57551
- Reassigned Medicare billing, Texas enrollment
- 426 clinicians in this Medicare group
Hulett, WY 82720
- Reassigned Medicare billing, Wyoming enrollment
- 285 clinicians in this Medicare group
Benson, AZ 85602
- Reassigned Medicare billing, Arizona enrollment
- 60 clinicians in this Medicare group
Mesa, AZ 85206
- Reassigned Medicare billing, Arizona enrollment
- 289 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45238 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CINCINNATI, OH 45238
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 Mark Kellam's NPI number?
The NPI number for Mark Kellam is 1356346449. It was assigned to this individual provider in the NPPES registry on June 16, 2005.
Where is Mark Kellam located?
Mark Kellam practices at 3131 Queen City Ave, Cincinnati, OH 45238. The listed phone number is (513) 557-3333.
What is Mark Kellam's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Mark Kellam enrolled in Medicare?
Yes. Mark Kellam 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 organizations bill Medicare for Mark Kellam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Kellam reassigns Medicare benefits to 4 organizations: Pine Ridge Indian Health Service Hospital (Martin, SD), Campbell County Hospital District (Hulett, WY), Nes Arizona Inc (Benson, AZ) and Emergency Physicians Southwest, PC (Mesa, AZ). Each 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 Mark Kellam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Kellam accept?
Health plans from Blue Cross Blue Shield of Arizona and Blue Cross Blue Shield of Wyoming list Mark Kellam 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 Mark Kellam was last updated on April 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mark E Kellam, MD · NPI 1356346449
Emergency Medicine physician in Cincinnati, Ohio. Individual provider, active in the CMS NPPES registry since June 16, 2005.
## Identity
- **NPI:** 1356346449 (Entity type: Individual)
- **Enumerated:** June 16, 2005
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 35076218 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 3131 QUEEN CITY AVE, Cincinnati, OH 45238-2316
- **Phone:** (513) 557-3333 · **Fax:** (513) 557-3332
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Pine Ridge Indian Health Service Hospital (NPI 1003208257, Martin, SD); Campbell County Hospital District (NPI 1750047031, Hulett, WY); Nes Arizona Inc (NPI 1205217700, Benson, AZ); Emergency Physicians Southwest, PC (NPI 1912053752, Mesa, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Washington School Of Medicine, class of 1996
## Record status
- **NPPES last updated:** April 27, 2008
- **Other identifiers:** Medicaid 200237920 (IN); Medicaid 2126907 (OH); Medicare PIN 0881741 (OH); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1356346449) · Data from the CMS NPPES public registry.