Individual provider Active NPI

Stephen J Klemawesch, MD

  • Allergy Physician
  • St Petersburg, FL
National Provider Identifier
1568467785
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
ME0044273 Issued in FL
Practice address
6294 1St Ave N
St Petersburg, FL 33710-8414
Phone
(727) 345-1900
Fax
(727) 347-5273
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X ME0044273 FL Primary

Addresses

Primary practice location

6294 1St Ave N
St Petersburg, FL 33710-8414

Mailing address

6294 1 Ave N
St. Petersburg, FL 33710-8414
Phone (727) 345-1900

Other identifiers 1

IdentifierTypeStateIssuer
068828200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20091026000430 FL Practitioner - Allergy/Immunology 2668519547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Alabama School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allergy AssociatesGroup PAC ID 8729129507, 2 clinicians

Practice addresses (Care Compare)

6294 1 Ave N
St Petersburg, FL 33710-8414

6294 1St N Ave
Saint Petersburg, FL 33710-8414

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.07 of 100Reported as individual
Quality
72.68
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0044273FLMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Associates Allergy CurrentSince Jul 13, 2009 Accepting new patients
Orlando Health, Inc. Allergy Current Accepting new patients

Locations

6294 1st Ave N
St Petersburg, FL 33710
Phone (727) 345-1900

Interoperability endpoints

  • Direct secure messaging: sklemawesch188715@orlandohealth.medalliesdirect.net
  • Direct secure messaging: stephen.klemawesch.1@29058.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1568467785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6294 1 AVE N",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337108414",
            "telephone_number": "727-345-1900",
            "fax_number": "727-347-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6294 1ST AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108414",
            "telephone_number": "727-345-1900",
            "fax_number": "727-347-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMAWESCH",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "FL",
            "license": "ME0044273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068828200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.