Individual provider Active NPI

Jacob Klewer, MD

  • Clinical Cardiac Electrophysiology Physician
  • Tucson, AZ
National Provider Identifier
1215424759
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
66602 Issued in AZ
Practice address
3838 N Campbell Ave, Suite C
Tucson, AZ 85719-0001
Phone
(520) 694-8888
NPI assigned
Apr 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11405422-1205 UT
Clinical Cardiac Electrophysiology Physician 207RC0001X 66602 AZ Primary
Cardiovascular Disease Physician 207RC0000X 66602 AZ

Addresses

Primary practice location

3838 N Campbell Ave, Suite C
Tucson, AZ 85719-0001

Mailing address

1501 N Campbell Ave, PO Box 245046
Tucson, AZ 85724
Phone (520) 694-0111

Other practice location 1

4729 E Camp Lowell Dr
Tucson, AZ 85712-1256
Phone (520) 838-3540

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251120001972 AZ Practitioner - Cardiovascular Disease (Cardiology) 1951734813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Arizona College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pima Heart Physicians PCGroup PAC ID 6507751294, 65 clinicians

Practice addresses (Care Compare)

4729 E Camp Lowell Dr
Tucson, AZ 85712-1256
Phone (520) 838-3540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
66602AZMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group Internal Medicine CurrentSince Jan 3, 2026 Accepting new patients
Pima Heart Physicians, PC CurrentSince Oct 1, 2025 Accepting new patients
Pima Heart Physicians, PC Cardiovascular Disease CurrentSince Oct 1, 2025 Accepting new patients
Banner-University Medical Group CurrentSince Jan 3, 2026 Accepting new patients
Pima Heart Physicians, PC Cardiovascular Disease Past Accepting new patients

Locations

480 N Morley Ave
Nogales, AZ 85621
Phone (520) 287-2726

2404 E River Rd
Ste 100
Tucson, AZ 85718
Phone (520) 585-5796

3838 N Campbell Ave
Ste C
Tucson, AZ 85719
Phone (520) 626-1232

1714 W Anklam Rd
Ste 104
Tucson, AZ 85745
Phone (520) 229-9600

1501 N Campbell Ave
Tucson, AZ 85724
Phone (520) 626-7747

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

4729 E Camp Lowell Dr
Tucson, AZ 85712

1238 W Orange Grove Rd
Ste 103
Tucson, AZ 85704

341 Cool Springs Blvd
Ste 305
Franklin, TN 37067
Phone (972) 391-1915

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1215424759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N CAMPBELL AVE, PO BOX 245046",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85724",
            "telephone_number": "520-694-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 N CAMPBELL AVE, SUITE C",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857190001",
            "telephone_number": "520-694-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4729 E Camp Lowell Dr",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857121256",
            "country_code": "US",
            "telephone_number": "520-838-3540",
            "fax_number": "520-325-3526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEWER",
        "first_name": "JACOB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-19",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "11405422-1205",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "AZ",
            "license": "66602",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "66602",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.