Individual provider Active NPI

Lewis Alan Siegel, M.D.

  • Interventional Cardiology Physician
  • Fishersville, VA
National Provider Identifier
1023017928
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
0101259587 Issued in VA
Practice address
78 Medical Center Dr
Heart & Vascular Center, 2ND FLR
Fishersville, VA 22939-2332
Phone
(540) 245-7080
Fax
(540) 245-7081
NPI assigned
Jul 21, 2005
Last updated
May 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 013476 LA
Cardiovascular Disease Physician 207RC0000X MD.013476 LA
Cardiovascular Disease Physician 207RC0000X 13476 LA
Interventional Cardiology Physician 207RI0011X MD.013476 LA
Interventional Cardiology Physician 207RI0011X 0101259587 VA Primary

Addresses

Primary practice location

78 Medical Center Dr
Heart & Vascular Center, 2ND FLR
Fishersville, VA 22939-2332

Mailing address

PO Box 388
Fishersville, VA 22939-0388
Phone (540) 332-5168

Other identifiers 3

IdentifierTypeStateIssuer
1320579MedicaidLA
060016777OtherLAMEDICARE RAILROAD
00015081MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lewis.siegel.1@14718.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20161213002295 VA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 0648295972 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1975
Medicare assignment
May accept Medicare assignment
Group practices
Augusta Health Care IncGroup PAC ID 1355248212, 63 clinicians
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

Practice addresses (Care Compare)

78 Medical Ctr Dr
Fishersville, VA 22939-2332
Phone (540) 245-7216

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13476LAMDClinical Social Worker
013476LAMDCardiovascular Disease Physician
MD.013476LAMDInterventional Cardiology Physician
0101259587VAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Health Care, Inc CurrentSince Oct 8, 2016 Accepting new patients
Augusta Medical Group CurrentSince Oct 8, 2016 Accepting new patients
Augusta Health Care, Inc. CurrentSince Oct 8, 2016 Accepting new patients
Augusta Medical Group CurrentSince Oct 8, 2016 Accepting new patients
Schabelman & Vorhoff, Apmc Cardiovascular Disease Past Accepting new patients

Locations

540 Radford Ln
Ste 250
Charlottesville, VA 22903
Phone (434) 823-7596

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216

78 Medical Center Dr
Fl 2
Fishersville, VA 22939
Phone (540) 245-7080

78 Medical Center Dr
Fl 3
Fishersville, VA 22939

644 University Blvd
Harrisonburg, VA 22801
Phone (540) 564-5100

30 Greenhouse Rd
Lexington, VA 24450
Phone (540) 464-3465

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/bathco-40ebbe67

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1023017928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229390388",
            "telephone_number": "540-332-5168",
            "fax_number": "540-332-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 MEDICAL CENTER DR",
            "address_2": "HEART & VASCULAR CENTER, 2ND FLR",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392332",
            "telephone_number": "540-245-7080",
            "fax_number": "540-245-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "LEWIS",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "013476",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "MD.013476",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "13476",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "LA",
            "license": "MD.013476",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "0101259587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1320579",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "060016777",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00015081",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lewis.siegel.1@14718.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "address_1": "78 Medical Center Dr",
            "address_2": "Heart & Vascular Center, 2nd Flr",
            "city": "Fishersville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229392332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishersville, VA

Sources for this page

Verify at the official NPI Registry.