Individual provider Active NPI

Kimberly Harris Lewis, D.P.M.

  • Podiatrist
  • Beavercreek Township, OH
National Provider Identifier
1073589412
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD001018 Issued in GA
Practice address
4031 Colonel Glenn Hwy Ste 301
Beavercreek Township, OH 45431-2774
Phone
(937) 426-9500
Fax
(855) 482-2337
NPI assigned
Feb 26, 2006
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 003766 OH
Podiatrist 213E00000X POD001018 GA Primary

Addresses

Primary practice location

4031 Colonel Glenn Hwy Ste 301
Beavercreek Township, OH 45431-2774

Mailing address

9145 N Dixie Dr
Dayton, OH 45414-1859
Phone (937) 426-9500

Other practice location 1

8517 N Dixie Dr Ste 700
Dayton, OH 45414-2498
Phone (937) 426-9500

Other practice location 2

7111 N Main St Ste 60
Dayton, OH 45415-2558
Phone (937) 426-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161011001738 OH Practitioner - Podiatry 1557357977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical SpecialistsGroup PAC ID 9931393725, 3 clinicians

Practice addresses (Care Compare)

5925 N Main St
Suite D
Dayton, OH 45415-3142
Phone (937) 426-9500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
59.88 of 100Reported as group
Quality
15.03
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue33
Removal of skin lesions68
Removal of nail tissue812
Removal or shaving of skin growth72
Skin biopsy43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003766OHMDPrimary Podiatric Medicine Podiatrist
01352MDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Specialists Podiatrist CurrentSince Aug 1, 2016 Accepting new patients
Community Medical Specialists CurrentSince Aug 1, 2016 Accepting new patients
Sandtown Foot & Ankle Center LLC Past Accepting new patients

Locations

3359 Kemp Rd
Ste 100
Beavercreek, OH 45431
Phone (937) 426-7135

4031 Colonel Glenn Hwy
Ste 301
Beavercreek Township, OH 45431

5925 N Main St
Ste D
Dayton, OH 45415
Phone (937) 276-5871

7111 N Main St
Ste 60
Dayton, OH 45415
Phone (937) 276-3445

8517 N Dixie Dr
Ste 700
Dayton, OH 45414
Phone (937) 299-9060

9145 N Dixie Dr
Dayton, OH 45414

Interoperability endpoints

  • Direct secure messaging: kimberly@cms-oh.direct.office.nextgen.com

Organizations & group practices 3

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 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": "1140912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1073589412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9145 N DIXIE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454141859",
            "telephone_number": "937-426-9500",
            "fax_number": "855-482-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 COLONEL GLENN HWY STE 301",
            "city": "BEAVERCREEK TOWNSHIP",
            "state": "OH",
            "postal_code": "454312774",
            "telephone_number": "937-426-9500",
            "fax_number": "855-482-2337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8517 N Dixie Dr Ste 700",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454142498",
            "country_code": "US",
            "telephone_number": "937-426-9500",
            "fax_number": "855-482-2337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7111 N Main St Ste 60",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454152558",
            "country_code": "US",
            "telephone_number": "937-426-9500",
            "fax_number": "855-482-2337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KIMBERLY",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-26",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "OH",
            "license": "003766",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek Township, OH

Sources for this page

Verify at the official NPI Registry.