Clifford C Podewell, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

22999 Issued in AZ

Practice address

14300 W Granite Valley Dr
Sun City West, AZ 85375-5783

Phone

(623) 546-8777

NPI assigned

Jan 23, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cigna Health Care of Arizona Inc.

  • Multi-Specialty Clinic/Center
  • Surprise, AZ
  • NPI 1033280698
  NPD
• Cigna Healthcare of Arizona, Inc.

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1073626404
  NPD
• Cigna Health Care of Arizona Inc.

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1396816013
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174593370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 W GRANITE VALLEY DR",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755783",
            "telephone_number": "623-546-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 W GRANITE VALLEY DR",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755783",
            "telephone_number": "623-546-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODEWELL",
        "first_name": "CLIFFORD",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "22999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191081",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Pirrera, FNP-C
• Teodor Cristian Pitea, MD
• Tanner J Pitts, RBT
• Placido LLC
• Amanda Plascencia
• Ofelia Zoe Popluca, M.D.
• Shannon Lynne Porter, ARNP
• Amanda C Powers, PHYSICIAN ASSISTANT
• Praful Reddy MD PC
• Tyler Pretzlaff

• Internal Medicine Physician in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.