Active NPI
Katherine Rose Lewis, PA
- Physician Assistant
- Timonium, MD
National Provider Identifier
1023575016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 023262
- Practice address
- 1205 York Rd Ste 11
Timonium, MD 21093-6211 - Phone
- (443) 325-0031
- NPI assigned
- Feb 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 023262 | MD | Primary |
Addresses
Primary practice location
1205 York Rd Ste 11
Timonium, MD 21093-6211
Mailing address
1205 York Rd Ste 11
Timonium, MD 21093-6211
Phone (443) 325-0031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3320 Benson Ave
Halethorpe, MD 21227-1035
Phone (667) 600-2600
901 Arcola Ave
Silver Spring, MD 20902-3401
Phone (301) 649-2400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023262 | MD | MD | Physician Assistant |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Lutherville, MD
- NPI 1912736901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1023575016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 YORK RD STE 11",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210936211",
"telephone_number": "443-325-0031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 YORK RD STE 11",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210936211",
"telephone_number": "443-325-0031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "KATHERINE",
"middle_name": "ROSE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-26",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "023262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.