Kathy Marie Clewell, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G81095 Issued in CA

Practice address

15525 Pomerado Rd a-4
Poway, CA 92064

Phone

(858) 592-7040

Fax

(858) 592-7049

NPI assigned

Dec 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Internal Medicine

Education

Jefferson Medical College of Thomas Jefferson University, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Arc Health Systems LLC Home health agency, San Diego, CA, CCN 757877
• Archer Health Inc Home health agency, Carlsbad, CA, CCN 053124
• Palomar Medical Center Poway Hospital, Poway, CA, CCN 050636
• Palomar Health Downtown Campus Hospital, Escondido, CA, CCN 050115

Merit-based Incentive Payment System (MIPS)

Final score

87.84 of 100Reported as individual

Quality

100

Improvement activities

40

Cost

59.46

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.

• Kathy Clewell MD P.C.

  • Internal Medicine Physician
  • Poway, CA
  • NPI 1053107003
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Arc Health Systems LLC

  • Home Health Agency
  • San Diego, CA
  • NPI 1588356646
  Care Compare affiliation
• Optimal Health Care Inc

  • Home Health Agency
  • Carlsbad, CA
  • NPI 1053741017
  Care Compare affiliation
• Palomar Health

  • General Acute Care Hospital
  • Poway, CA
  • NPI 1376513754
  Care Compare affiliation
• Palomar Health

  • General Acute Care Hospital
  • Escondido, CA
  • NPI 1457321317
  Care Compare affiliation

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1326100835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15525 POMERADO RD.",
            "address_2": "SUITE A-4",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "92064",
            "telephone_number": "858-592-7040",
            "fax_number": "858-592-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15525 POMERADO RD A-4",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "92064",
            "telephone_number": "858-592-7040",
            "fax_number": "858-592-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEWELL",
        "first_name": "KATHY",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G81095",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G018095",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G08109C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Ann Ciurzynski, RN, LC
• Kaitlyn E Claros
• Maria Claudio
• Noele Clayton, LMFT
• Timothy Clayton, ND, LAC
• Alana Clipper
• Cmcnamara Wellness, LLC
• Coastal Occupational Therapy Service
• Brad Steven Cohen, M.D.
• Kerianne Colberg, LMFT

• Internal Medicine Physician in Poway, CA
• Providers in Poway, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.