Individual provider Active NPI

Deborah Hewlett, PA

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1619488988
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0006644 Issued in MD
Practice address
7642 Belair Rd
Baltimore, MD 21236-4088
Phone
(410) 665-3093
NPI assigned
Oct 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0006644 MD Primary

Addresses

Primary practice location

7642 Belair Rd
Baltimore, MD 21236-4088

Mailing address

1511 S Hanover St
Baltimore, MD 21230-4439
Phone (301) 379-4447

Other practice location 1

1511 S Hanover St
Baltimore, MD 21230-4439
Phone (301) 379-4447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200521003113 SC Practitioner - Physician Assistant 8820357189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charleston Dermatology PCGroup PAC ID 6709164056, 11 clinicians

Practice addresses (Care Compare)

5401 Netherby LN
Suite 1202
North Charleston, SC 29420-7365
Phone (843) 872-3015

Merit-based Incentive Payment System (MIPS)

Final score
96.33 of 100Reported as individual
Quality
93.33
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0006644MDMDPhysician Assistant

Organizations & group practices 1

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": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1619488988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 S HANOVER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304439",
            "telephone_number": "301-379-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7642 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364088",
            "telephone_number": "410-665-3093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1511 S Hanover St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212304439",
            "country_code": "US",
            "telephone_number": "301-379-4447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEWLETT",
        "first_name": "DEBORAH",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0006644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.