Individual provider Active NPI

Daniel Clark Drewry, MD

  • Emergency Medicine Physician
  • Emeryville, CA
National Provider Identifier
1427678325
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036165198 Issued in IL
Practice address
2100 Powell St Ste 400
Emeryville, CA 94608-1872
Phone
(510) 350-2600
NPI assigned
Apr 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036165198 IL Primary
Emergency Medicine Physician 207P00000X 01090062A IN

Addresses

Primary practice location

2100 Powell St Ste 400
Emeryville, CA 94608-1872

Mailing address

2100 Powell St Ste 400
Emeryville, CA 94608-1872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, UT, WY, TN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20230731003214 IL Practitioner - Emergency Medicine 7416379474 Reassigns benefits to 1 organization
I20240826002233 UT Practitioner - Emergency Medicine 7416379474 Reassigns benefits to 1 organization
I20240826002351 WY Practitioner - Emergency Medicine 7416379474 Reassigns benefits to 1 organization
I20260116000473 TN Practitioner - Emergency Medicine 7416379474 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

208 Central Ave W
Jamestown, TN 38556-3557
Phone (888) 952-6772

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.77 of 100Reported as group
Quality
91.47
Promoting interoperability
100
Improvement activities
40
Cost
74.42

Merit-based Incentive Payment System (MIPS)

Final score
80.57 of 100Reported as group
Quality
71.8
Improvement activities
40
Cost
80.85

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01090062AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jan 1, 2026 Accepting new patients
University of Utah Adult Services CurrentSince Jul 15, 2024 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
University of Utah Adult Services Current Accepting new patients
University of Utah Adult Services CurrentSince Jul 15, 2024 Accepting new patients
University of Utah Adult Services CurrentSince Jul 15, 2024 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jan 1, 2026 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Jul 19, 2023 Accepting new patients
University of Utah Adult Services Current Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Jul 19, 2023 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

600 S Randall Rd
Algonquin, IL 60102
Phone (224) 783-4300

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

8045 Roane Medical Center Dr
Harriman, TN 37748
Phone (865) 316-1000

208 Central Ave W
Jamestown, TN 38556
Phone (865) 305-9401

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000

127 S 500 E
Ste 400
Salt Lake City, UT 84102

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352

Organizations & group practices 10

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1427678325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST STE 400",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST STE 400",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081872",
            "telephone_number": "510-350-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREWRY",
        "first_name": "DANIEL",
        "middle_name": "CLARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-21",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036165198",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01090062A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emeryville, CA

Sources for this page

Verify at the official NPI Registry.