CREIGHTON LLOYD KELLUM MD
NPI 1699577700
Student in an Organized Health Care Education/Training Program in Lebanon, NH

Q: What is Creighton Kellum's NPI number?

The NPI number for Creighton Kellum is 1699577700. It was assigned to this individual provider in the NPPES registry on March 27, 2025.

Q: What is Creighton Kellum's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Creighton Kellum was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since March 27, 2025PECOS Enrolled

1 MEDICAL CENTER DR, DHMC DEPT. OF SURGERY, LEBANON, NH 03756(603) 650-5000 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Creighton Lloyd Kellum Md NPPES

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

CREIGHTON LLOYD KELLUM MD (NPI 1699577700) is an individual student in an organized health care education/training program in Lebanon, New Hampshire and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699577700

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameCREIGHTON LLOYD KELLUMCredential: MD

Location Address1 MEDICAL CENTER DR, DHMC DEPT. OF SURGERYLebanon, NH 03756-0001

Mailing Address1 Medical Center Dr, Dhmc Dept. Of SurgeryLebanon, NH 03756-0001 · (603) 650-5000

Phone(603) 650-5000

Sole ProprietorNo

Enumeration DateMarch 27, 2025

NPPES CertifiedMarch 27, 2025

✔ NPI 1699577700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1 MEDICAL CENTER DR, Lebanon, NH 03756

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Creighton Lloyd Kellum Md 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.

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.

MRS. JANICE M BRENNAN APRN

Nurse Practitioner (Family)

1 MEDICAL CENTER DR, DHMC DEPARTMENT OF OCCUPATION MEDICINE
LEBANON, NH 03756

Grafton County (603) 560-5000

MS. SHELLEY GRACE BENSON R.PH.

Pharmacist (Oncology)

1 MEDICAL CENTER DR
LEBANON, NH 03756

Grafton County (603) 650-5417

ELIAS LOUKAS M.D.

Internal Medicine

1 MEDICAL CENTER DR, DHMC SECTION OF HOSPITAL MEDICINE
LEBANON, NH 03756

Grafton County (603) 650-8380

SARAH S SEO MD

Otolaryngology

1 MEDICAL CENTER DR, OTOLARYNGOLOGY
LEBANON, NH 03756

Grafton County (603) 650-8123

DR. SRINIVAS J. IVATURY MD

Colon & Rectal Surgery

1 MEDICAL CENTER DR, COLON & RECTAL SURGERY DEPARTMENT
LEBANON, NH 03756

Grafton County (603) 650-8113

TIMOTHY EARLEY D.O.

Student in an Organized Health Care Education/Training Program

1 MEDICAL CENTER DR
LEBANON, NH 03756

Grafton County (201) 694-0663

HANNAH ELIZABETH FOOTE BENSIMHON M.D.

Internal Medicine (Cardiovascular Disease)

1 MEDICAL CENTER DR
LEBANON, NH 03756

Grafton County (603) 650-5000

EMILE JOSEPH HASAN M.D.

Student in an Organized Health Care Education/Training Program

1 MEDICAL CENTER DR
LEBANON, NH 03756

Grafton County (603) 650-5000

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 Creighton Kellum's NPI number?

The NPI number for Creighton Kellum is 1699577700. It was assigned to this individual provider in the NPPES registry on March 27, 2025.

Where is Creighton Kellum located?

Creighton Kellum practices at 1 Medical Center Dr Dhmc Dept. Of Surgery, Lebanon, NH 03756. The listed phone number is (603) 650-5000.

What is Creighton Kellum's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Creighton Kellum enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Creighton Kellum was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.