Travis J Lewis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA053415 Issued in PA

Practice address

810 Clairton Blvd
Pittsburgh, PA 15236-4567

Phone

(412) 466-5004

Fax

(412) 466-7131

NPI assigned

Jun 29, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Kids Plus Pediatrics

  • Pediatrics Physician
  • Pittsburgh, PA
  • NPI 1942526314
  NPD (past)
• The Childrens Institute of Pittsburgh

  • Pediatrics Physician
  • Pittsburgh, PA
  • NPI 1255422408
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1104088327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 CLAIRTON BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152364567",
            "telephone_number": "412-466-5004",
            "fax_number": "412-466-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 CLAIRTON BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152364567",
            "telephone_number": "412-466-5004",
            "fax_number": "412-466-7131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "671 Castle Creek Drive Ext",
            "address_purpose": "LOCATION",
            "city": "Seven Fields",
            "state": "PA",
            "postal_code": "160467800",
            "country_code": "US",
            "telephone_number": "724-761-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4070 Beechwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152172679",
            "country_code": "US",
            "telephone_number": "412-521-6511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "TRAVIS",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-29",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA053415",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031676650001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031676650002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031676650003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Lewis, PT
• Sarah Kate Lewis, FNP
• Susan B Lewis, M.S., C.G.C.
• Terrence Dairon Lewis, MD, PHD
• Tiffany Michelle Lewis, LPC
• Whitfield Lewis, M.D.
• William Raymond Lewis, DMD
• Yurri Raymond Lewis
• Tishanna Lewison, LPC, NCC
• Vered D Lewy-Weiss, M.D.

• Physician Assistant in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.