Keith M Lewis, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

7205 Issued in NV

Practice address

2559 Wigwam Parkway
Henderson, NV 89074-6230

Phone

(702) 982-3659

Fax

(702) 549-0377

NPI assigned

Jan 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Nevada Heart and Vascular Center Resh LLP

  dba Nevada Heart and Vascular Center

  • Cardiovascular Disease Physician
  • Las Vegas, NV
  • NPI 1659387934

  Diagnostic Radiology

  Medicare reassignment NPD
• Yarbro LTD

  dba Lake Mead Radiologists

  • Diagnostic Radiology Physician
  • Henderson, NV
  • NPI 1568411965
  Medicare reassignment NPD
• Nevada Heart and Vascular Center Resh LLP

  dba Nevada Heart and Vascular Center

  • Cardiac Rehabilitation Registered Nurse
  • Las Vegas, NV
  • NPI 1891482113
  NPD
• US Mobile Imaging

  • Mobile Radiology Clinic/Center
  • Las Vegas, NV
  • NPI 1730573270
  NPD
• Mobile X-Rays on Demand Limited Liability Company

  • Mobile Radiology Clinic/Center
  • McAllen, TX
  • NPI 1922350628
  NPD
• Professional Medical Ultrasound Inc

  • Mobile Radiology Clinic/Center
  • San Dimas, CA
  • NPI 1538256797
  NPD

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319846400000",
    "number": "1114906054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2559 WIGWAM PARKWAY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746230",
            "telephone_number": "702-985-6044",
            "fax_number": "702-897-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2559 WIGWAM PARKWAY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746230",
            "telephone_number": "702-982-3659",
            "fax_number": "702-549-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KEITH",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2011-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "7205",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G76499",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "24927",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornesha Lewis
• Cynthia Lewis
• Dina Lewis
• Dominique M Lewis
• Emily Lewis
• Larhonda Lewis
• Mercedes Doree Lewis
• Michelle Marie Lewis, D.O.
• Natalie J Lewis, CRNA
• Rhea Lewis, NP

• Diagnostic Radiology Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Diagnostic Radiology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.