Individual provider Active NPI

Gregory A Lewis, M.D.

  • Urology Physician
  • Joliet, IL
National Provider Identifier
1023098910
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036057677 Issued in IL
Practice address
1541 Riverboat Center Dr
Joliet, IL 60431-9341
Phone
(815) 409-4930
Fax
(815) 741-3263
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 036057677 IL Primary

Addresses

Primary practice location

1541 Riverboat Center Dr
Joliet, IL 60431-9341

Mailing address

1541 Riverboat Center Dr
Joliet, IL 60431-9341
Phone (815) 409-4930

Other identifiers 1

IdentifierTypeStateIssuer
036057677MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20041217000801 IL Practitioner - Urology 0446212260 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036057677ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Shockwave Services, LTD. Urology CurrentSince May 1, 2015 Accepting new patients
United Shockwave Services, LTD. CurrentSince May 1, 2015 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jan 8, 2023 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jan 8, 2023 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Uropartners, LLC Urology Past Accepting new patients
Associated Urological Specialists Urology Past Accepting new patients

Locations

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

120 N La Grange Rd
La Grange, IL 60525
Phone (630) 226-1436

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

3591 Griffin Ave
Fl 3
Pekin, IL 61554
Phone (309) 353-7500

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

815 Main St
Ste A1
Peoria, IL 61602

450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123

200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201

Interoperability endpoints

  • Direct secure messaging: glewismd389579@carlehiedirect.net
  • Direct secure messaging: gregorylewis@aua.allscriptsdirect.net

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1023098910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 RIVERBOAT CENTER DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604319341",
            "telephone_number": "815-409-4930",
            "fax_number": "815-741-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 RIVERBOAT CENTER DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604319341",
            "telephone_number": "815-409-4930",
            "fax_number": "815-741-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "GREGORY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036057677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036057677",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.