Individual provider Active NPI

Kathryn Jean Sowerwine

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1477712867
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD038093 Issued in DC
Practice address
3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone
(202) 444-2600
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X ZZ
Internal Medicine Physician 207R00000X MD038093 DC Primary

Addresses

Primary practice location

3800 Reservoir Rd NW
Washington, DC 20007-2113

Mailing address

4220 Campbell Ave
#820
Arlington, VA 22206-3427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, DE, TX, NY, ME, MA, IN, NH, VA, CT, RI, MO, NC, AR14 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 14

Enrollment IDStateProvider typePAC IDDetails
I20090731000391 DC Practitioner - Internal Medicine 8628121159 Reassigns benefits to 1 organization
I20231219001135 DE Practitioner - Internal MedicinePractitioner - Allergy/Immunology 8628121159
I20231220000015 TX Practitioner - Internal Medicine 8628121159
I20240509001088 NY Practitioner - Internal MedicinePractitioner - Allergy/Immunology 8628121159
I20240516001161 ME Practitioner - Internal MedicinePractitioner - Allergy/Immunology 8628121159
I20240603000323 MA Practitioner - Internal MedicinePractitioner - Allergy/Immunology 8628121159
I20240614001708 IN Practitioner - Internal MedicinePractitioner - Allergy/Immunology 8628121159
I20240617000025 NH Practitioner - Internal MedicinePractitioner - Allergy/Immunology 8628121159
I20240617000392 VA Practitioner - Internal MedicinePractitioner - Allergy/Immunology 8628121159
I20240619000570 CT Practitioner - Internal MedicinePractitioner - Allergy/Immunology 8628121159
I20240624001026 RI Practitioner - Internal MedicinePractitioner - Allergy/Immunology 8628121159
I20240625000444 MO Practitioner - Internal MedicinePractitioner - Allergy/Immunology 8628121159
I20240628001311 NC Practitioner - Internal MedicinePractitioner - Allergy/Immunology 8628121159
I20250507003280 AR Practitioner - Internal Medicine 8628121159

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renewal Dermatology and Medspa PCGroup PAC ID 8527216993, 16 clinicians

Practice addresses (Care Compare)

1850 Town Ctr Pkwy
Suite 360
Reston, VA 20190-3219
Phone (703) 753-9860

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions136
Removal or shaving of skin growth1-10
Skin biopsy27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD038093DCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Physician, P.C. Internal Medicine Past Accepting new patients
Renewal Dermatology PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 4

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": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1477712867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 CAMPBELL AVE",
            "address_2": "#820",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222063427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "202-444-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWERWINE",
        "first_name": "KATHRYN",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "ZZ",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD038093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.