Clearwater Gastroenterology
NPI 1518205715 · Specialist · Lewiston, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clearwater Gastroenterology is a Specialist organization in Lewiston, ID (NPI 1518205715).
Provider details
- NPI number
- 1518205715
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Carl Dettwiler, M.D.(208) 743-4373
- License
- M5110 (ID)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-01-22
- Last updated
- 2013-01-22
Frequently asked questions
- What is Clearwater Gastroenterology's NPI number?
- Clearwater Gastroenterology's National Provider Identifier (NPI) is 1518205715, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clearwater Gastroenterology?
- Clearwater Gastroenterology is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Clearwater Gastroenterology located?
- Clearwater Gastroenterology's practice location on file with NPPES is 2517 17th St, Lewiston, ID 83501-6311.
- What is Clearwater Gastroenterology's phone number?
- The practice phone number listed in the NPPES registry for Clearwater Gastroenterology is (208) 743-4373.
- Does Clearwater Gastroenterology accept Medicare?
- Clearwater Gastroenterology is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Clearwater Gastroenterology?
- The authorized official listed on Clearwater Gastroenterology's NPPES record is Carl Dettwiler, M.D.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clearwater Gastroenterology's NPI active?
- Yes — Clearwater Gastroenterology's NPI (1518205715) is active in the NPPES registry as of the last update on 2013-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.