Individual provider Active NPI

Jennifer M Lewis, MD

  • Gastroenterology Physician
  • Somersworth, NH
National Provider Identifier
1003075771
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
18257 Issued in NH
Practice address
21 Clark Way
Somersworth, NH 03878-4401
Phone
(603) 692-2228
Fax
(603) 692-4748
NPI assigned
Jun 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 018816 ME
Internal Medicine Physician 207R00000X 18257 NH
Gastroenterology Physician 207RG0100X 018816 ME
Gastroenterology Physician 207RG0100X 18257 NH Primary

Addresses

Primary practice location

21 Clark Way
Somersworth, NH 03878-4401

Mailing address

21 Clark Way
Somersworth, NH 03878-4401
Phone (603) 692-2228

Other practice location 1

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-4618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20170913003926 NH Practitioner - GastroenterologyPractitioner - Internal Medicine 5294904561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlantic Digestive Specialists PLLCGroup PAC ID 0941198329, 17 clinicians

Practice addresses (Care Compare)

21 Clark Way
Somersworth, NH 03878-4401
Phone (603) 692-2228

Hospital & facility affiliations

  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • York Hospital Hospital, York, ME, CCN 200020
  • Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029
  • Frisbie Memorial Hospital Hospital, Rochester, NH, CCN 300014

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy106
Upper gastrointestinal (GI) endoscopy for acid reflux131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018816MEMDInternal Medicine Physician
18257NHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Digestive Specialists, PLLC Gastroenterology CurrentSince Oct 15, 2017 Accepting new patients

Locations

21 Clark Way
#108
Somersworth, NH 03878

21 Clark Way
Somersworth, NH 03878
Phone (603) 692-2228

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72809
  • Direct secure messaging: jennifer.lewis@atlanticdigestive.directbygreenway.com

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.

Hospital & facility affiliations 5

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": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1003075771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CLARK WAY",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038784401",
            "telephone_number": "603-692-2228",
            "fax_number": "603-692-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CLARK WAY",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038784401",
            "telephone_number": "603-692-2228",
            "fax_number": "603-692-4748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-4618",
            "fax_number": "207-662-6254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "018816",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "18257",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ME",
            "license": "018816",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NH",
            "license": "18257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somersworth, NH

Sources for this page

Verify at the official NPI Registry.