DR. KIRSTEN ELIZABETH MEWALDT M.D.
NPI 1659403228
Emergency Medicine in Marina Del Rey, CA

Q: What is Kirsten Mewaldt's NPI number?

The NPI number for Kirsten Mewaldt is 1659403228. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Q: What is Kirsten Mewaldt's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Kirsten Mewaldt was last updated on October 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 09, 2007PECOS EnrolledAccepts Medicare Assignment

4650 LINCOLN BLVD, UNIT #1604, MARINA DEL REY, CA 90292(626) 354-4874(650) 723-0121 Get Directions Write a Review

NPPES record last updated: October 19, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 19, 2016, Aug 12, 2016 (2 updates tracked since 2016).

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About Dr. Kirsten Elizabeth Mewaldt M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIRSTEN ELIZABETH MEWALDT M.D. (NPI 1659403228) is an individual emergency medicine provider in Marina Del Rey, California, licensed in California (A103717) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1659403228

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameDR. KIRSTEN ELIZABETH MEWALDTCredential: M.D.

Location Address4650 LINCOLN BLVD, UNIT #1604Marina Del Rey, CA 90292-6306

Mailing Address4650 Lincoln BlvdMarina Del Rey, CA 90292-6306 · (310) 448-5200

Phone(626) 354-4874

Fax(650) 723-0121

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateMarch 9, 2007

Last NPPES UpdateOctober 19, 20162 updates tracked since enumeration

✔ NPI 1659403228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in CA · A103717

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

4650 LINCOLN BLVD, Marina Del Rey, CA 90292

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Other Identifiers 2

Medicare PINCG652ZCA

Other0A1037170CA · Medi-cal

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kirsten Elizabeth Mewaldt M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375689094

PECOS Enrollment IDI20091012000217

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

64 services63 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

58 services57 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90292 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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