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SANDRA KELLUM M.D.
NPI 1669881397
Pediatrics in Newport Beach, CA

Active since August 06, 2014PECOS Enrolled
1401 AVOCADO AVE STE 802, NEWPORT BEACH, CA 92660(949) 644-0970 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2024, Apr 20, 2018 (2 updates tracked since 2018).

About Sandra Kellum M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA KELLUM M.D. (NPI 1669881397) is an individual pediatrics provider in Newport Beach, California, licensed in New Jersey (25MA10083400) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669881397
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSANDRA KELLUMCredential: M.D.
Location Address1401 AVOCADO AVE STE 802Newport Beach, CA 92660-7784
Mailing Address1401 Avocado Ave Ste 802Newport Beach, CA 92660-7784 · (949) 644-0970
Phone(949) 644-0970
Sole ProprietorYes
Enumeration DateAugust 6, 2014
Last NPPES UpdateNovember 13, 20242 updates tracked since enumeration
NPPES CertifiedNovember 8, 2024
✔ NPI 1669881397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA10083400
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1401 AVOCADO AVE STE 802, Newport Beach, CA 92660
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Other Identifiers 1

Other39NJ · St. Joseph's Healthcare System

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Kellum M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

ANDREA BINLEY PA-C
Physician Assistant
1401 AVOCADO AVE STE 802
NEWPORT BEACH, CA 92660
Orange County (949) 644-0970
ELIZABETH YAP CPNP-PC
Pediatrics
1401 AVOCADO AVE STE 802
NEWPORT BEACH, CA 92660
Orange County (949) 644-0970
ANGELA J CARLSON CPNP
Nurse Practitioner (Pediatrics)
1401 AVOCADO AVE STE 802
NEWPORT BEACH, CA 92660
Orange County (949) 644-0970

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 Sandra Kellum's NPI number?

The NPI number for Sandra Kellum is 1669881397. It was assigned to this individual provider in the NPPES registry on August 6, 2014.

Where is Sandra Kellum located?

Sandra Kellum practices at 1401 Avocado Ave Ste 802, Newport Beach, CA 92660. The listed phone number is (949) 644-0970.

What is Sandra Kellum's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sandra Kellum enrolled in Medicare?

Yes. Sandra Kellum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sandra Kellum was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.