Individual provider Active NPI

Scott Edward Klewer, M.D.

  • Pediatric Cardiology Physician
  • Tucson, AZ
National Provider Identifier
1992804280
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
23838 Issued in AZ
Practice address
535 N Wilmot Rd
Suite #101
Tucson, AZ 85711
Phone
(520) 694-9988
Fax
(520) 694-9917
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Congenital Heart Disease Physician 207RA0002X 23838 AZ
Pediatric Cardiology Physician 2080P0202X 23838 AZ Primary

Addresses

Primary practice location

535 N Wilmot Rd
Suite #101
Tucson, AZ 85711

Mailing address

2701 E Elvira Rd
Tucson, AZ 85756-7124
Phone (520) 626-6508

Other identifiers 1

IdentifierTypeStateIssuer
342121MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20070925000412 AZ Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 7810081528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians

Practice addresses (Care Compare)

1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (520) 694-0111

2800 E Ajo Way
Tucson, AZ 85713-6204

3533 Canyon de Flores
Suite C
Sierra Vista, AZ 85650-5366
Phone (520) 458-2000

6365 E Tanque Verde Rd
BLDG E Suite 100
Tucson, AZ 85715-3839
Phone (520) 694-6220

707 N Alvernon Way
Suite 301
Tucson, AZ 85711-1848
Phone (520) 694-1460

Hospital & facility affiliations

  • Banner - University Medical Center Tucson Campus Hospital, Tucson, AZ, CCN 030064

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23838AZMDAdult Congenital Heart Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Clinics for Rehabilitative Services CurrentSince Sep 1, 2007 Accepting new patients
Banner-University Medical Group Pediatrics CurrentSince Jan 1, 1991 Accepting new patients
Banner-University Medical Group CurrentSince Jan 1, 1991 Accepting new patients

Locations

1209 W Target Range Rd
Ste 104
Nogales, AZ 85621
Phone (520) 882-0696

3533 Canyon de Flores
Ste C
Sierra Vista, AZ 85650
Phone (520) 458-2000

3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

2600 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 324-3600

2167 W Orange Grove Rd
Tucson, AZ 85741
Phone (520) 544-7650

2701 E Elvira Rd
Tucson, AZ 85756
Phone (520) 874-4024

1625 N Campbell Ave
Tucson, AZ 85719

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

2851 S Avenue B
Ste 2001
Yuma, AZ 85364
Phone (928) 336-2434

2851 S Avenue B
Ste 2504
Yuma, AZ 85364
Phone (928) 271-6105

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

Organizations & group practices 3

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 2

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1992804280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 E ELVIRA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857567124",
            "telephone_number": "520-626-6508",
            "fax_number": "520-626-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 N WILMOT RD",
            "address_2": "SUITE #101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85711",
            "telephone_number": "520-694-9988",
            "fax_number": "520-694-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEWER",
        "first_name": "SCOTT",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adult Congenital Heart Disease",
            "state": "AZ",
            "license": "23838",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "AZ",
            "license": "23838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "342121",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.