KELLY JEANNE LEW
NPI 1700463452
Emergency Medicine in San Diego, CA

Active since March 27, 2021PECOS EnrolledAccepts Medicare Assignment
4077 5TH AVE, SAN DIEGO, CA 92103(858) 832-2478 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 15, 2024, Dec 8, 2023, Mar 27, 2021 (3 updates tracked since 2021).

About Kelly Jeanne Lew NPPES

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

KELLY JEANNE LEW (NPI 1700463452) is an individual emergency medicine provider in San Diego, California, licensed in California (A193012) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1700463452
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKELLY JEANNE LEW
Location Address4077 5TH AVESan Diego, CA 92103-2105
Mailing Address110 Irving St NwWashington, DC 20010-3017 · (202) 877-8080 · Fax (202) 877-7633
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 27, 2021
Last NPPES UpdateMay 15, 20243 updates tracked since enumeration
NPPES CertifiedMay 15, 2024
NPI 1700463452 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 · A193012
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.

4077 5TH AVE, San Diego, CA 92103

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

Kelly Jeanne Lew 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 ID8729526850
PECOS Enrollment IDI20240820001783
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 4

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.
76 services76 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.
55 services55 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
21 services20 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.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Psychologist (Clinical)
4077 5TH AVE, BEHAVIORAL HEALTH OUTPATIENT - LEVEL D
SAN DIEGO, CA 92103
Pharmacist
4077 5TH AVE
SAN DIEGO, CA 92103
Nurse Practitioner (Primary Care)
4077 5TH AVE
SAN DIEGO, CA 92103
Hospitalist
4077 5TH AVE, MER 127
SAN DIEGO, CA 92103
Physical Therapist
4077 5TH AVE
SAN DIEGO, CA 92103
Nurse Practitioner (Adult Health)
4077 5TH AVE
SAN DIEGO, CA 92103
Emergency Medicine
4077 5TH AVE
SAN DIEGO, CA 92103
Social Worker (Clinical)
4077 5TH AVE
SAN DIEGO, CA 92103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Lew's NPI number?

The NPI number for Kelly Lew is 1700463452. It was assigned to this individual provider in the NPPES registry on March 27, 2021.

Where is Kelly Lew located?

Kelly Lew practices at 4077 5th Ave, San Diego, CA 92103. The listed phone number is (858) 832-2478.

What is Kelly Lew's specialty?

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

Is Kelly Lew enrolled in Medicare?

Yes. Kelly Lew is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kelly Lew was last updated on May 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.