REBECCA I KELLUM MD NPI 1992894372

NPI Information

  • NPI: 1992894372
  • Provider Name: REBECCA I KELLUM, MD
  • Classification: Internal Medicine - 207RA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1015 GAMMON LN
    MADISON, WI
    ZIP 53719
  • Phone: (608) 417-8144

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NPI Details

Rebecca I Kellum, MD is an addiction medicine internal medicine in Madison, WI with 23 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. Rebecca I Kellum, MD NPI is 1992894372. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1015 GAMMON LN
MADISON, WI
ZIP 53719-210
Phone: (608) 417-8144
Fax: (608) 260-6451

The NPI 1992894372 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Initial hospital observation care per day, typically 50 minutes (HCPCS:99219)

The enumeration date for this NPI number is 10/12/2006 and was last updated on 6/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RA0401XInternal MedicineAddiction Medicine49401-020WISCONSINYes
2207R00000XInternal Medicine49401-020WISCONSINNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11992894372MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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