Kimberly Harris Lewis, D.P.M.
Individual provider Active NPI Podiatrist · Beavercreek Township, OH
NPI 1073589412 · NPPES record last updated Jun 16, 2026
Key facts
- NPI
- 1073589412
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- POD001018 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- 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 Specialists
Practice addresses (Care Compare)
5925 N Main St
Suite D
Dayton, OH 45415-3142
Phone (937) 426-9500
Hospital & facility affiliations
- Miami Valley Hospital
- Kettering Health Dayton
- Soin Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 59.88 of 100
- Quality
- 15.03
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 33 |
| Removal of skin lesions | 68 |
| Removal of nail tissue | 812 |
| Removal or shaving of skin growth | 72 |
| Skin biopsy | 43 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161011001738 | OH | Practitioner - Podiatry | 1557357977 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003766 | OH | MD | Primary Podiatric Medicine Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Specialists | Podiatrist | Current |
Accepting new patients |
| Community Medical Specialists | Current |
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
8517 N Dixie Dr
Ste 700
Dayton, OH 45414
Phone (937) 299-9060
5925 N Main St
Ste D
Dayton, OH 45415
Phone (937) 276-5871
9145 N Dixie Dr
Dayton, OH 45414
7111 N Main St
Ste 60
Dayton, OH 45415
Phone (937) 276-3445
Interoperability endpoints
- kimberly@cms-oh.direct.office.nextgen.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 003766 | OH | |
| Podiatrist | 213E00000X | POD001018 | GA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131408692A | Medicaid | GA |
Other providers in Beavercreek Township, OH
- Robert Thomas Daubenspeck
- Andrea Dudding
- Samantha Ann Elam
- Melyssa Skye Elston
- Alan M Lafky
- Haley McLatchey
- Jane Diane Morford
- Brock Michael Myers
- Shannon Rebecca Naik
- Abigail Schmid
All providers in Beavercreek Township, OH · Podiatrist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.