Edward Kerwin, M.D.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

MD18405 Issued in OR

Practice address

3860 Crater Lake Ave
Medford, OR 97504-9741

Phone

(541) 858-1003

Fax

(541) 858-1091

NPI assigned

May 31, 2005

Last updated

Jul 10, 2020By the provider in NPPES

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 OR

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

Allergy/ImmunologyAlso: Internal Medicine

Education

University of Colorado School of Medicine, Denver, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy and Asthma Center of Southern Oregon, PCGroup PAC ID 1355449141, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

22.96 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

76.54

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allergy & Asthma Center of Southern Oregon PC

  • Allergy Physician
  • Medford, OR
  • NPI 1760548408
  Medicare reassignment Care Compare group Authorized official
• Allergy & Asthma Center of Southern Oregon PC

  • Allergy Physician
  • Ashland, OR
  • NPI 1205976867
  NPD Authorized official
• Allergy & Asthma Center of Southern Oregon PC

  • Allergy Physician
  • Klamath Falls, OR
  • NPI 1164562401
  NPD (past) Authorized official
• Allergy & Asthma Center of Southern Oregon PC

  • Allergy Physician
  • Roseburg, OR
  • NPI 1851954853
  Authorized official Same address or phone
• Allergy & Asthma Center of Southern Oregon PC

  • Allergy Physician
  • Grants Pass, OR
  • NPI 1952441594
  Authorized official Same address or phone

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1568465847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 CRATER LAKE AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049741",
            "telephone_number": "541-858-1003",
            "fax_number": "541-858-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 CRATER LAKE AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049741",
            "telephone_number": "541-858-1003",
            "fax_number": "541-858-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERWIN",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "OR",
            "license": "MD18405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056700",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly K Kennedy, SLP
• Rebekah Niah Kenney, QMHA-R
• Jason Frank Kephart, FNP
• Alyssa Marie Kerlinger
• Deborah Jean Kerneen, FNP
• Gena Jo Kesler, BA
• Tina Joyce Kessel
• Iman Sajid Khan, MD
• Vinshi Khan, M.D.
• Tariq Khreis, MD

• Allergy Physician in Medford, OR
• Providers in Medford, OR by specialty
• Allergy Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.