Individual provider Active NPI

Trevor Kyle Lewis, M.D.

  • Diagnostic Radiology Physician
  • Fairfax, VA
National Provider Identifier
1114307287
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101272862 Issued in VA
Practice address
2722 Merrilee Dr Ste 230
Fairfax, VA 22031-4400
Phone
(703) 788-8418
NPI assigned
Jun 4, 2015
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 0101272862 VA
Diagnostic Radiology Physician 2085R0202X 0101272862 VA Primary
Diagnostic Radiology Physician 2085R0202X 2025043999 MO
Diagnostic Radiology Physician 2085R0202X MD-55435 IA
Diagnostic Radiology Physician 2085R0202X A203311 CA
Vascular & Interventional Radiology Physician 2085R0204X MD-55435 IA

Addresses

Primary practice location

2722 Merrilee Dr Ste 230
Fairfax, VA 22031-4400

Mailing address

2722 Merrilee Dr Ste 230
Fairfax, VA 22031-4400
Phone (703) 698-4444

Other practice location 1

6000 State Farm Dr Ste 150
Rohnert Park, CA 94928-2226
Phone (707) 576-4392

Other practice location 2

6000 Hospital Dr
Hannibal, MO 63401-6887
Phone (573) 248-5300

Other practice location 3

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-5610

Other practice location 4

500 E Market St
Iowa City, IA 52245-2633
Phone (833) 228-6889

Other practice location 5

1201 Sam Perry Blvd Ste 201
Fredericksburg, VA 22401-4491
Phone (540) 741-5610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, NM, MA, IA, NC, CA, IL, TX, WI, WY, MN, MO, FL14 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 14

Enrollment IDStateProvider typePAC IDDetails
I20210810001934 VA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 7911217005 Reassigns benefits to 6 organizations
I20210811000647 DC Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 7911217005 Reassigns benefits to 22 organizations
I20250722001137 NM Practitioner - Diagnostic Radiology 7911217005 Reassigns benefits to 4 organizations
I20250812004875 MA Practitioner - Diagnostic Radiology 7911217005 Reassigns benefits to 4 organizations
I20250915002710 IA Practitioner - Diagnostic Radiology 7911217005 Reassigns benefits to 3 organizations
I20251001002495 NC Practitioner - Diagnostic Radiology 7911217005 Reassigns benefits to 3 organizations
I20251029003113 CA Practitioner - Diagnostic Radiology 7911217005 Reassigns benefits to 1 organization
I20251103000572 IL Practitioner - Diagnostic Radiology 7911217005 Reassigns benefits to 2 organizations
I20251119003511 TX Practitioner - Diagnostic Radiology 7911217005 Reassigns benefits to 6 organizations
I20251204001690 WI Practitioner - Diagnostic Radiology 7911217005 Reassigns benefits to 2 organizations
I20260123002012 WY Practitioner - Diagnostic Radiology 7911217005 Reassigns benefits to 2 organizations
I20260129002006 MN Practitioner - Diagnostic Radiology 7911217005 Reassigns benefits to 1 organization
I20260304003565 MO Practitioner - Diagnostic Radiology 7911217005 Reassigns benefits to 1 organization
I20260505000288 FL Practitioner - Diagnostic Radiology 7911217005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Radiology Consultants LTDGroup PAC ID 9032195128, 35 clinicians
Mary Washington Healthcare Providers LLCGroup PAC ID 1456629369, 264 clinicians
Avera McKennanGroup PAC ID 0345157103, 957 clinicians
Comprehensive Radiology Services PLLCGroup PAC ID 1759364946, 50 clinicians
Plains Radiology Services LLCGroup PAC ID 1850453432, 61 clinicians
Diagnostic Radiology PCGroup PAC ID 2264491570, 65 clinicians
Mahaska County HospitalGroup PAC ID 2769388677, 128 clinicians
Radiology Consultants of Iowa PLCGroup PAC ID 3577467851, 73 clinicians
Radiant Imaging IncGroup PAC ID 7113145558, 65 clinicians
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians
California Managed Imaging Medical Group IncGroup PAC ID 9436229887, 76 clinicians
Fairfax Radiological ConsultantsGroup PAC ID 8628970324, 151 clinicians
Otero County Hospital AssociationGroup PAC ID 3173516606, 245 clinicians
Riverbend Medical Group IncGroup PAC ID 5698064343, 227 clinicians
Reliant Medical Group IncGroup PAC ID 5597755322, 638 clinicians
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians
Holyoke Medical Center IncGroup PAC ID 2163419383, 202 clinicians

Practice addresses (Care Compare)

MC Lean, VA 22102
Phone (855) 896-8446

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-5610

1173 Foxhound CT
MC Lean, VA 22102-2402
Phone (605) 322-4878

1401 W 5TH St
Sheridan, WY 82801-2705
Phone (307) 672-1000

1921 Stonecipher Dr
Ada, OK 74820-3439
Phone (580) 436-3980

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 698-4444

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100

271 Carew St
Springfield, MA 01104-2377
Phone (413) 748-9000

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

37868 US Hwy 18
Prairie Du Chien, WI 53821-8416
Phone (608) 357-2000

4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 698-4444

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6470

5 Neponset St
Worcesteer, MA 01606-2714
Phone (508) 595-2300

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 610-4172

575 Beech St
Holyoke, MA 01040-2223
Phone (413) 534-2546

692 Rocky Knoll LN
Danville, VA 24541-8932
Phone (434) 429-2946

8081 Innovation Park Dr
Fairfax, VA 22031-4867
Phone (703) 204-8333

8505 Arlington Blvd
Suite 400
Fairfax, VA 22031-4636
Phone (703) 698-4484

8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 396-5297

9724 Brimfield CT
Potomac, MD 20854-4338
Phone (319) 768-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
28.96 of 100Reported as group
Quality
16.43
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
58.12
Improvement activities
40
Cost
68.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A203311CAMDDiagnostic Radiology Physician
2025043999MOMDDiagnostic Radiology Physician
MD-55435IAMDVascular & Interventional Radiology Physician

Practice roles (60 of 61)

OrganizationSpecialtyStatusNew patients
Hannibal Regional Healthcare System Inc CurrentSince Feb 24, 2026 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Sep 15, 2025 Accepting new patients
Cheyenne Radiology Group CurrentSince Oct 1, 2025 Accepting new patients
Hansford County Hospital District CurrentSince Feb 26, 2026 Accepting new patients
Avera McKennan Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Valley Radiology P a Diagnostic Radiology CurrentSince Aug 22, 2025 Accepting new patients
Fairfax Radiological Consultants Diagnostic Radiology CurrentSince Aug 1, 2021 Accepting new patients
Gibson Community Hospital Association Current Accepting new patients
Memorial Hospital of Sheridan County CurrentSince Feb 1, 2026 Accepting new patients
Southeast Iowa Regional Medical Center, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Plains Radiology Services LLC Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
The Duluth Clinic LTD CurrentSince Feb 2, 2026 Accepting new patients
KND Development 59 LLC CurrentSince Jan 5, 2026 Accepting new patients
X-Ray Associates of New Mexico PC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Otero County Hospital Association CurrentSince Jul 1, 2025 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Feb 2, 2026 Accepting new patients
Gibson Community Hospital Association CurrentSince Oct 1, 2025 Accepting new patients
Chickasaw Nation Division of Health Current Accepting new patients
Riverbend Medical Group, Inc CurrentSince Oct 1, 2025 Accepting new patients
Columbus Regional Healthcare System CurrentSince Aug 22, 2025 Accepting new patients
Radiology Consultants, LTD. Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Dominion Imaging LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Allen Memorial Hospital Corporation Diagnostic Radiology CurrentSince Oct 14, 2025 Accepting new patients
Western Mass Physician Associates Inc CurrentSince Oct 1, 2025 Accepting new patients
Columbus Regional Healthcare System CurrentSince Aug 22, 2025 Accepting new patients
Mahaska County Hospital Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Inova Reston MRI Center LLC CurrentSince Aug 1, 2021 Accepting new patients
Radiant Imaging, Inc. Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
State University of Iowa CurrentSince Feb 18, 2026 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Oct 1, 2025 Accepting new patients
Memorial Hospital of Sheridan County CurrentSince Feb 1, 2026 Accepting new patients
Diagnostic Radiology PC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Ifrc, LLC CurrentSince Aug 1, 2021 Accepting new patients
Scotland Memorial Hospital Inc Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Inova Health Care Services CurrentSince Aug 1, 2021 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Mar 3, 2026 Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince Nov 1, 2025 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Sep 15, 2025 Accepting new patients
Reliant Medical Group, Inc CurrentSince Jul 2, 2025 Accepting new patients
Hegg Memorial Hospital Current Accepting new patients
Holyoke Medical Center, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Mary Washington Healthcare Providers LLC Diagnostic Radiology CurrentSince Dec 6, 2025 Accepting new patients
Cibola General Hospital Corporation Current Accepting new patients
Henry County Health Center, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Chickasaw Nation Division of Health Chickasaw Nation Medical Center CurrentSince Nov 1, 2025 Accepting new patients
Riverbend Medical Group, Inc. Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Otero County Hospital Association CurrentSince Jul 1, 2025 Accepting new patients
Big Horn Health Network CurrentSince Feb 1, 2026 Accepting new patients
Henry County Health Center Inc CurrentSince Aug 1, 2025 Accepting new patients
Allen Memorial Hospital Corporation Current Accepting new patients
Western Mass Physician Associates Inc CurrentSince Oct 1, 2025 Accepting new patients
KND Development 59, LLC CurrentSince Jan 5, 2026 Accepting new patients
Grand Island Radiology Associates PC Diagnostic Radiology CurrentSince Feb 2, 2026 Accepting new patients
Inova Reston MRI Center LLC Diagnostic Radiology CurrentSince Aug 1, 2021 Accepting new patients
Gibson Community Hospital Association CurrentSince Oct 1, 2025 Accepting new patients
Chickasaw Nation Division of Health CurrentSince Nov 1, 2025 Accepting new patients
Hansford County Hospital District CurrentSince Feb 26, 2026 Accepting new patients
Comprehensive Radiology Services, PLLC Diagnostic Radiology CurrentSince Feb 4, 2026 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Radiologic Associates of Fredericksburg LTD Diagnostic Radiology Past Accepting new patients

Locations (25 of 77)

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

6000 State Farm Dr
Ste 150
Rohnert Park, CA 94928
Phone (707) 576-4392

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

500 E Market St
Iowa City, IA 52245
Phone (319) 339-0300

3285 Main St
Keokuk, IA 52632
Phone (319) 524-6274

407 S White St
Mt Pleasant, IA 52641
Phone (319) 385-6110

1229 C Ave E
Oskaloosa, IA 52577
Phone (641) 672-3100

1202 21st Ave
Rock Valley, IA 51247
Phone (712) 476-8000

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
  • Direct secure messaging: tlewis3042160@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: tlewis753416@hisp.ehr.sutterhealth.org
  • Direct secure messaging: trevor.lewis@wh.jhie.net

Organizations & group practices 71

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.

View all 71

Hospital & facility affiliations 8

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": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1114307287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 MERRILEE DR STE 230",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314400",
            "telephone_number": "703-698-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 MERRILEE DR STE 230",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314400",
            "telephone_number": "703-788-8418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 State Farm Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Rohnert Park",
            "state": "CA",
            "postal_code": "949282226",
            "country_code": "US",
            "telephone_number": "707-576-4392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016887",
            "country_code": "US",
            "telephone_number": "573-248-5300",
            "fax_number": "573-248-5302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Sam Perry Blvd",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224014453",
            "country_code": "US",
            "telephone_number": "540-741-5610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 E Market St",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522452633",
            "country_code": "US",
            "telephone_number": "833-228-6889",
            "fax_number": "866-317-9404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Sam Perry Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224014491",
            "country_code": "US",
            "telephone_number": "540-741-5610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "TREVOR",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-04",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101272862",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101272862",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2025043999",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "MD-55435",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A203311",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IA",
            "license": "MD-55435",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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Sources for this page

Verify at the official NPI Registry.