NPIMap

Individual provider Active NPI

Eric Andrew Lewis, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Pueblo, CO
National Provider Identifier
1104181148
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD.0000764 Issued in CO
Practice address
1619 N Greenwood St
Suite 300
Pueblo, CO 81003-2644
Phone
(719) 543-2476
NPI assigned
Jul 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD.0000764 CO Primary

Addresses

Primary practice location

1619 N Greenwood St
Suite 300
Pueblo, CO 81003-2644

Mailing address

1619 N Greenwood St
Suite 300
Pueblo, CO 81003-2644
Phone (719) 543-2476

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150901000546 CO Practitioner - Podiatry 0446566780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pueblo Ankle and Foot Care, PLLCGroup PAC ID 0749380103, 4 clinicians

Practice addresses (Care Compare)

1619 N Greenwood St
Suite 300
Pueblo, CO 81003-2657
Phone (719) 543-2476

Hospital & facility affiliations

  • Parkview Medical Center, Inc Hospital, Pueblo, CO, CCN 060020

Merit-based Incentive Payment System (MIPS)

Final score
83.41 of 100Reported as group
Quality
63.76
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue81
Removal of skin lesions1-10
Removal of nail tissue622
Removal or shaving of skin growth339
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
764COMDMarriage & Family Therapist
POD.0000764COMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Ankle and Foot Care, PLLC Foot & Ankle Surgery CurrentSince Aug 1, 2015 Accepting new patients
Pueblo Ankle and Foot Care, PLLC Podiatrist CurrentSince Aug 1, 2015 Accepting new patients

Locations

1619 N Greenwood St
Ste 300
Pueblo, CO 81003
Phone (719) 543-2476

323 S Purcell Blvd
Pueblo West, CO 81007
Phone (719) 543-2476

Interoperability endpoints

  • Direct secure messaging: drlewis@pafc.emadirect.md

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1104181148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 N GREENWOOD ST",
            "address_2": "SUITE 300",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032644",
            "telephone_number": "719-543-2476",
            "fax_number": "719-543-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 N GREENWOOD ST",
            "address_2": "SUITE 300",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032644",
            "telephone_number": "719-543-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ERIC",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "POD.0000764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.