Individual provider Active NPI

Travis Lewis, M.D.

  • Otolaryngology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1114217478
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
126972 Issued in FL
Practice address
3471 N Federal Hwy Ste 202
Fort Lauderdale, FL 33306-1048
Phone
(954) 799-5559
Fax
(954) 776-0609
NPI assigned
Apr 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 126972 FL Primary

Addresses

Primary practice location

3471 N Federal Hwy Ste 202
Fort Lauderdale, FL 33306-1048

Mailing address

15280 NW 79TH CT Ste 200
Miami Lakes, FL 33016-5873
Phone (305) 558-3724

Other practice location 1

601 N Flamingo Rd Ste 210
Pembroke Pines, FL 33028
Phone (954) 431-8281

Other practice location 2

415 SE 12th St
Ft Lauderdale, FL 33316
Phone (954) 389-1414

Other practice location 3

2500 Weston Rd
Suite 103
Weston, FL 33331-3615
Phone (954) 389-1414

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address travislewis@sfa.allscriptsdirect.net South Florida ENT Associates, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160614002646 FL Practitioner - Otolaryngology 0648561027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Kentucky College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida ENT Associates IncGroup PAC ID 4587556923, 156 clinicians

Practice addresses (Care Compare)

3471 N Federal Hwy
Suite 202
Fort Lauderdale, FL 33306-1048
Phone (957) 799-5559

Hospital & facility affiliations

  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073
  • Cleveland Clinic Hospital Hospital, Weston, FL, CCN 100289

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
126972FLMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida ENT Associates, Inc. Otolaryngology CurrentSince Jul 1, 2016 Accepting new patients

Locations

415 SE 12th St
Ft Lauderdale, FL 33316
Phone (954) 389-1414

3471 N Federal Hwy
Ste 202
Ft Lauderdale, FL 33306
Phone (954) 630-0311

15280 NW 79th Ct
Ste 200
Miami Lakes, FL 33016

8181 NW 154th St
Ste 200
Miami Lakes, FL 33016
Phone (225) 298-3537

18501 Pines Blvd
Ste 210
Pembroke Pines, FL 33029
Phone (954) 237-2505

601 N Flamingo Rd
Ste 210
Pembroke Pnes, FL 33028
Phone (954) 438-1015

2500 Weston Rd
Ste 103
Weston, FL 33331
Phone (954) 389-1414

Organizations & group practices 1

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 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": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1114217478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15280 NW 79TH CT STE 200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165873",
            "telephone_number": "305-558-3724",
            "fax_number": "786-907-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3471 N FEDERAL HWY STE 202",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061048",
            "telephone_number": "954-799-5559",
            "fax_number": "954-776-0609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 N Flamingo Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "33028",
            "country_code": "US",
            "telephone_number": "954-431-8281",
            "fax_number": "305-696-4610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 SE 12th St",
            "address_purpose": "LOCATION",
            "city": "Ft Lauderdale",
            "state": "FL",
            "postal_code": "33316",
            "country_code": "US",
            "telephone_number": "954-389-1414",
            "fax_number": "954-389-4201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 Weston Rd",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333313615",
            "country_code": "US",
            "telephone_number": "954-389-1414",
            "fax_number": "954-389-4201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "TRAVIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-07",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "126972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "travislewis@sfa.allscriptsdirect.net",
            "affiliation": "Y",
            "affiliationName": "South Florida ENT Associates, Inc.",
            "address_1": "2500 Weston Rd",
            "address_2": "Suite 103",
            "city": "Weston",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333313615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.