Individual provider Active NPI

John W Lewis, MD

  • Emergency Medicine Physician
  • Fargo, ND
National Provider Identifier
1083637086
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
14814 Issued in ND
Practice address
5225 23Rd Ave S
Fargo, ND 58104-7927
Phone
(701) 417-2575
Fax
(701) 417-2535
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 14814 ND Primary
Emergency Medicine Physician 207P00000X 88177 CA
Emergency Medicine Physician 207P00000X 8765 SD

Addresses

Primary practice location

5225 23Rd Ave S
Fargo, ND 58104-7927

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice location 1

102 E Lake Mead Pkwy
Henderson, NV 89015-5575
Phone (330) 493-4443

Other practice location 2

2305 37th Ave SW
Minot, ND 58701-7669
Phone (701) 418-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, ND, WY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20130621000106 SD Practitioner - Emergency Medicine 8325043938 Reassigns benefits to 2 organizations
I20180912001008 ND Practitioner - Emergency Medicine 8325043938 Reassigns benefits to 7 organizations
I20240312000719 WY Practitioner - Emergency Medicine 8325043938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity HealthGroup PAC ID 7911816020, 292 clinicians

Practice addresses (Care Compare)

2305 37TH Ave SW
Minot, ND 58701-7669
Phone (701) 418-8000

Hospital & facility affiliations

  • Sanford Medical Center Aberdeen Hospital, Aberdeen, SD, CCN 430097
  • Trinity Hospitals Hospital, Minot, ND, CCN 350006
  • Sanford Medical Center Bismarck Hospital, Bismarck, ND, CCN 350015

Merit-based Incentive Payment System (MIPS)

Final score
88.5 of 100Reported as group
Quality
79.54
Improvement activities
40
Cost
78.56

Merit-based Incentive Payment System (MIPS)

Final score
85.53 of 100Reported as group
Quality
80.98
Promoting interoperability
100
Improvement activities
40
Cost
70.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88177CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center CurrentSince Jun 25, 2013 Accepting new patients
St Joseph'S Hospital and Health Center Current Accepting new patients
Trinity Health CurrentSince Aug 7, 2025 Accepting new patients
St Alexius Medical Center CurrentSince Aug 5, 2018 Accepting new patients
St. Alexius Medical Center CurrentSince Aug 5, 2018 Accepting new patients
St Joseph'S Hospital and Health Center CurrentSince Jan 7, 2024 Accepting new patients
Campbell County Hospital District CurrentSince Mar 1, 2024 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Campbell County Hospital District, CurrentSince Mar 1, 2024 Accepting new patients
Sanford Bismarck CurrentSince Dec 5, 2025 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jan 7, 2022 Accepting new patients
Trinity Health Current Accepting new patients
Healthsource Partners ND LLC Emergency Medicine CurrentSince Jan 7, 2019 Accepting new patients
Sanford Medical Center Fargo Emergency Medicine CurrentSince Jan 7, 2022 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Sanford Bismarck CurrentSince Dec 5, 2025 Accepting new patients
Sanford Health Network Current Accepting new patients
St Joseph'S Hospital and Health Center Current Accepting new patients
St Josephs Hospital and Health Center CurrentSince Jan 7, 2024 Accepting new patients
Trinity Health CurrentSince Aug 7, 2025 Accepting new patients
Sanford Health Network CurrentSince May 3, 2013 Accepting new patients
Sanford Health Network CurrentSince May 3, 2013 Accepting new patients
Emergency Physicians Medical Group, Inc Emergency Medicine Past Accepting new patients

Locations

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

2720 Dundee Rd
Northbrook, IL 60062
Phone (224) 226-5222

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

2500 Fairway St
Dickinson, ND 58601
Phone (701) 456-4000

2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800

5225 23rd Ave S
Fargo, ND 58104
Phone (701) 234-5933

2305 37th Ave SW
Minot, ND 58701
Phone (701) 418-8550

101 3rd Ave SW
Minot, ND 58701
Phone (701) 857-5286

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

1310 W 22nd St
Sioux Falls, SD 57105
Phone (605) 328-8200

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

401 9th Ave NW
Watertown, SD 57201
Phone (605) 886-9317

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 9

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1083637086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 23RD AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047927",
            "telephone_number": "701-417-2575",
            "fax_number": "701-417-2535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 E Lake Mead Pkwy",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890155575",
            "country_code": "US",
            "telephone_number": "330-493-4443",
            "fax_number": "330-493-8677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2305 37th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587017669",
            "country_code": "US",
            "telephone_number": "701-418-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ND",
            "license": "14814",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "88177",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SD",
            "license": "8765",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.