NPIMap

Individual provider Active NPI

O'Dene Hanniffe Lewis, M.B.,B.S

  • Pulmonary Disease Physician
  • Elkhart, IN
National Provider Identifier
1083909089
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
01084475A Issued in IN
Practice address
500 Arcade Ave Ste 210
Elkhart, IN 46514-2485
Phone
(574) 389-5656
Fax
(574) 523-7891
NPI assigned
Jun 17, 2011
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 01084475A IN
Pulmonary Disease Physician 207RP1001X 01084475A IN Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 01084475A IN

Addresses

Primary practice location

500 Arcade Ave Ste 210
Elkhart, IN 46514-2485

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-3725

Other identifiers 1

IdentifierTypeStateIssuer
300042987MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IN, GA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180717000724 NY Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Hospitalist 9436466885 Reassigns benefits to 1 organization
I20201014002763 IN Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Hospitalist 9436466885 Reassigns benefits to 2 organizations
I20231108003214 GA Practitioner - Critical Care (Intensivists) 9436466885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians
Apogee Medical Group Indiana PCGroup PAC ID 8729155742, 70 clinicians
Apogee Medical Group, New York, PCGroup PAC ID 4587793294, 117 clinicians

Practice addresses (Care Compare)

500 Arcade Ave
Suite 210
Elkhart, IN 46514-2485
Phone (574) 389-5656

600 E Blvd
Elkhart, IN 46514-2483
Phone (574) 389-7393

830 Washington St
Watertown, NY 13601-4034
Phone (315) 785-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.4 of 100Reported as group
Quality
72.79
Improvement activities
40
Cost
71.22

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
83.98
Improvement activities
40
Cost
76.51

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group Indiana PC CurrentSince Sep 1, 2020 Accepting new patients
Apogee Medical Group Georgia Inc CurrentSince Sep 17, 2023 Accepting new patients
The Metrohealth System Current Accepting new patients
Apogee Medical Group, Michigan, PC PastSince Oct 8, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000

600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

Interoperability endpoints

  • Direct secure messaging: olewis98353@direct.metrohealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1083909089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HEALTH DR STE 100",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465301380",
            "telephone_number": "574-647-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ARCADE AVE STE 210",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142485",
            "telephone_number": "574-389-5656",
            "fax_number": "574-523-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "O'DENE",
        "middle_name": "HANNIFFE",
        "name_prefix": "Dr.",
        "credential": "M.B.,B.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-17",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IN",
            "license": "01084475A",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01084475A",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IN",
            "license": "01084475A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300042987",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

Verify at the official NPI Registry.