Individual provider Active NPI

David Brian Lewis, M.D.

  • Emergency Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1053790089
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
308577 Issued in LA
Practice address
7777 Hennessy Blvd Ste 211
Baton Rouge, LA 70808-4365
Phone
(225) 765-7163
NPI assigned
May 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 308577 LA Primary

Addresses

Primary practice location

7777 Hennessy Blvd Ste 211
Baton Rouge, LA 70808-4365

Mailing address

7777 Hennessy Blvd Ste 211
Baton Rouge, LA 70808-4365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, LA2 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
I20171101002580 NC Practitioner - Emergency Medicine 1254622418 Reassigns benefits to 1 organization
I20180508000618 LA Practitioner - Emergency Medicine 1254622418 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Emergency Physician Associates, LLCGroup PAC ID 1759317092, 78 clinicians

Practice addresses (Care Compare)

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 765-8826

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
308577LAMDEmergency Medicine Physician
N/ANCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Emergency Physician Associates, LLC Emergency Medicine CurrentSince Jan 15, 2020 Accepting new patients
Vidant Medical Group LLC CurrentSince Sep 1, 2017 Accepting new patients
Independence Emergency Group LLC Emergency Medicine CurrentSince Apr 23, 2018 Accepting new patients
Woman's Assessment Center Physicians Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
Physician Practice Partners Emergency Medicine CurrentSince May 11, 2019 Accepting new patients
Michael E Isabelle MD Apmc Emergency Medicine Past Accepting new patients
US Radiology Partners of Texas Inc Past Accepting new patients

Locations

Dept AT952639
Atlanta, GA 31192

100 Womans Way
Baton Rouge, LA 70817
Phone (225) 293-2324

5439 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 358-2280

5000 Hennessy Blvd
Ste B
Baton Rouge, LA 70808

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

8120 Main St
Ste 203
Houma, LA 70360
Phone (985) 868-9960

8166 Main St
Houma, LA 70360
Phone (800) 456-9121

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

5000 Odonavan Blvd
Walker, LA 70785
Phone (225) 214-4200

500 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3000

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

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.

Hospital & facility affiliations 3

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": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1053790089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD STE 211",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD STE 211",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084365",
            "telephone_number": "225-765-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DAVID",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-22",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "308577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.