Active NPI
Raymond Herbert Lewis Jr., MD
- Family Medicine Physician
- Tewksbury, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 221969
- Practice address
- 600 Clark Rd
Suite 3
Tewksbury, MA 01876-1699 - Phone
- (978) 851-4141
- Fax
- (978) 788-7911
- NPI assigned
- Dec 5, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD10943 | RI | |
| Family Medicine Physician | 207Q00000X | D0064713 | MD | |
| Family Medicine Physician | 207Q00000X | 221969 | MA | Primary |
Addresses
Primary practice location
600 Clark Rd
Suite 3
Tewksbury, MA 01876-1699
Mailing address
600 Clark Rd
Suite 3
Tewksbury, MA 01876-1699
Phone (978) 851-4141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040817000335 | MA | Practitioner - Family Practice | 1557334695 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Temple University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
295 Varnum Ave
Lowell, MA 01854-2134
Phone (978) 788-7344
600 Clark Rd
Tewksbury, MA 01876-1699
Phone (978) 851-4141
Hospital & facility affiliations
- Tufts Medicine Care at Home
- Lowell General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LGH Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| LGH Professional Services LLC | Past | Accepting new patients | |
| The Lowell General Hospital | Past | Accepting new patients |
Locations
295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344
600 Clark Rd
Ste 3
Tewksbury, MA 01876
Phone (978) 851-4141
600 Clark Rd
Fl 2
Tewksbury, MA 01876
Phone (978) 453-1811
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d04f75c7-2a62-4686-b520-7bf0635f38f0/
Ownership & related parties
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Tufts Medicine Care at Home | Home health agency | Corporate Director | May 27, 2021 |
| Tufts Medicine Care at Home-Home Health NH | Home health agency | Corporate Director | May 27, 2021 |
| Tufts Medicine Care at Home | Hospice | Corporate Director | May 27, 2021 |
Owned or controlled facilities with NPI records 4
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Malden, MA
- NPI 1508413733
Corporate Director
-
- Community Based Hospice Care Agency
- Lowell, MA
- NPI 1356338529
Corporate Director
-
- Home Health Agency
- North Hampton, NH
- NPI 1225825458
Corporate Director
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Lowell, MA
- NPI 1417485541
-
- General Acute Care Hospital
- Lowell, MA
- NPI 1407804669
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lowell, MA
- NPI 1336443472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490832000000",
"number": "1114901030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 CLARK RD",
"address_2": "SUITE 3",
"city": "TEWKSBURY",
"state": "MA",
"postal_code": "018761699",
"telephone_number": "978-851-4141",
"fax_number": "978-788-7911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 CLARK RD",
"address_2": "SUITE 3",
"city": "TEWKSBURY",
"state": "MA",
"postal_code": "018761699",
"telephone_number": "978-851-4141",
"fax_number": "978-788-7911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "RAYMOND",
"middle_name": "HERBERT",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2017-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "RI",
"license": "MD10943",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0064713",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "221969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tewksbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.