Kellum Medical Group, PA
NPI 1508813494 · Family Medicine Physician · San Antonio, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kellum Medical Group, PA is a Family Medicine Physician organization in San Antonio, TX (NPI 1508813494).
Provider details
- NPI number
- 1508813494
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kristi Braker, Contract Management(210) 674-0257
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatric Nurse Practitioner363LP0200X
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-27
- Last updated
- 2026-03-09
- Certified
- 2026-03-09
Frequently asked questions
- What is Kellum Medical Group, PA's NPI number?
- Kellum Medical Group, PA's National Provider Identifier (NPI) is 1508813494, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kellum Medical Group, PA?
- Kellum Medical Group, PA is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kellum Medical Group, PA located?
- Kellum Medical Group, PA's practice location on file with NPPES is 7323 Marbach Rd Ste 104, San Antonio, TX 78227-1905.
- What is Kellum Medical Group, PA's phone number?
- The practice phone number listed in the NPPES registry for Kellum Medical Group, PA is (210) 674-0257.
- Does Kellum Medical Group, PA accept Medicare?
- Kellum Medical Group, PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kellum Medical Group, PA?
- The authorized official listed on Kellum Medical Group, PA's NPPES record is Kristi Braker, Contract Management. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kellum Medical Group, PA's NPI active?
- Yes — Kellum Medical Group, PA's NPI (1508813494) is active in the NPPES registry as of the last update on 2026-03-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.