Individual provider Active NPI

Gregory Lewis, MD

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1053601302
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28635 Issued in OK
Practice address
7501 Riverside Pkwy
Tulsa, OK 74136-5056
Phone
(918) 710-4208
NPI assigned
Apr 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 28635 OK Primary

Addresses

Primary practice location

7501 Riverside Pkwy
Tulsa, OK 74136-5056

Mailing address

7600 S Lewis Ave
Tulsa, OK 74136-6836

Other practice location 1

7600 S Lewis Ave
Tulsa, OK 74136-6836
Phone (918) 493-7880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130625000033 OK Practitioner - Family Practice 4082853080 Reassigns benefits to 7 organizations
I20210322001298 CO Practitioner - Family Practice 4082853080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prowers County Hospital DistrictGroup PAC ID 4486568508, 18 clinicians

Practice addresses (Care Compare)

403 Kendall Dr
Lamar, CO 81052-3953
Phone (719) 336-6767

Hospital & facility affiliations

  • Prowers Medical Center Hospital, Lamar, CO, CCN 061323

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Family Medicine Current Accepting new patients
St. John Physicians, Inc. Family Medicine CurrentSince Mar 1, 2014 Accepting new patients
Prowers County Hospital District CurrentSince Aug 26, 2024 Accepting new patients
HCC Duncan Inc CurrentSince Jan 1, 2022 Accepting new patients
St. John Physicians, Inc CurrentSince Mar 1, 2014 Accepting new patients
Hospital Care Consultants Region II Inc CurrentSince Jun 3, 2013 Accepting new patients
St John Urgent Care Clinics Inc PastSince Aug 25, 2019 Accepting new patients

Locations

401 Kendall Dr
Lamar, CO 81052
Phone (719) 336-4343

1407 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-8458

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

501 N 14th St
Perry, OK 73077
Phone (580) 336-3541

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

7501 Riverside Pkwy
Tulsa, OK 74136
Phone (918) 710-4200

Interoperability endpoints

  • Direct secure messaging: gregory.lewis.1@9147.direct.athenahealth.com
  • Direct secure messaging: glewis111936@direct-ehr-ssmhc.com
  • Direct secure messaging: gregorylewis@tdh.allscriptsdirect.net

Organizations & group practices 9

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 1

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": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1053601302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 S LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 RIVERSIDE PKWY",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741365056",
            "telephone_number": "918-710-4208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 S Lewis Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741366836",
            "country_code": "US",
            "telephone_number": "918-493-7880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-07",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "28635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.