Individual provider Active NPI

Kent Talmage Lewis, DO

  • Family Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1114970324
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3462 Issued in AZ
Practice address
3331 E Baseline Rd
Gilbert, AZ 85234-2633
Phone
(480) 545-1100
Fax
(480) 545-7181
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3462 AZ Primary

Addresses

Primary practice location

3331 E Baseline Rd
Gilbert, AZ 85234-2633

Mailing address

PO Box 7060
Chandler, AZ 85246-7060
Phone (480) 444-2017

Other identifiers 3

IdentifierTypeStateIssuer
1Z0862OtherAZHEALTH NET AZ
482331001MedicaidAZ
AZ0891420OtherAZBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20101006001131 AZ Practitioner - Family Practice 7719179944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

1124 E McKellips Rd
Suite 110
Mesa, AZ 85203-2766
Phone (855) 485-4673

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3462AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Aug 4, 2025 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Aug 4, 2025 Accepting new patients
Summit Medical Group Arizona LLC Family Medicine CurrentSince Mar 1, 2022 Accepting new patients
Concentra Primary Care of Arizona PA Past Accepting new patients
Charina Tecson MD PC PastSince Sep 1, 2004 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine Past Accepting new patients

Locations

300 S Phelps Dr
Apache Junction, AZ 85120
Phone (480) 536-6850

595 N Dobson Rd
Ste D65
Chandler, AZ 85224
Phone (480) 718-1300

595 N Dobson Rd
Ste 65
Chandler, AZ 85224

3331 E Baseline Rd
Gilbert, AZ 85234
Phone (480) 444-2017

5620 W Thunderbird Rd
Ste F1
Glendale, AZ 85306
Phone (602) 938-6960

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

3048 E Baseline Rd
Ste 109
Mesa, AZ 85204
Phone (480) 536-6845

220 N Stapley Dr
Ste B
Mesa, AZ 85203
Phone (480) 718-1290

1124 E McKellips Rd
Ste 110
Mesa, AZ 85203
Phone (480) 882-4509

4360 E Brown Rd
Ste 113
Mesa, AZ 85205
Phone (480) 218-2779

6828 E Brown Rd
Ste 102
Mesa, AZ 85207
Phone (480) 573-0379

6820 E Brown Rd
Mesa, AZ 85207
Phone (480) 718-1285

6242 E Arbor Ave
Ste 111
Mesa, AZ 85206
Phone (480) 610-8183

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

7831 W Deer Valley Rd
Peoria, AZ 85382
Phone (623) 312-2265

9191 W Thunderbird Rd
Ste D105
Peoria, AZ 85381
Phone (623) 849-3811

9250 N 3rd St
Ste 4010
Phoenix, AZ 85020
Phone (602) 633-3838

1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000

7301 E 2nd St
Ste 210
Scottsdale, AZ 85251
Phone (480) 534-4515

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

Interoperability endpoints

  • Direct secure messaging: klewis@hmg.gwaydirect.com
  • Direct secure messaging: klewis643842@direct.honorhealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1114970324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7060",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852467060",
            "telephone_number": "480-444-2017",
            "fax_number": "480-545-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 E BASELINE RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342633",
            "telephone_number": "480-545-1100",
            "fax_number": "480-545-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KENT",
        "middle_name": "TALMAGE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET AZ",
            "identifier": "1Z0862",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "482331001",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0891420",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.