Individual provider Active NPI

Serina J Lewis, MD

  • Family Medicine Physician
  • Columbia, MD
National Provider Identifier
1174180277
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0095042 Issued in MD
Practice address
6700 Alexander Bell Dr Ste 200
Columbia, MD 21046-2105
Phone
(888) 964-6681
NPI assigned
May 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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 D0095042 MD Primary

Addresses

Primary practice location

6700 Alexander Bell Dr Ste 200
Columbia, MD 21046-2105

Mailing address

3461 Jacobs Ford Way
Hanover, MD 21076-2502
Phone (404) 408-2911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220823003520 DC Practitioner - Family Practice 7719212588 Reassigns benefits to 2 organizations
I20231129003898 MD Practitioner - Family Practice 7719212588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
George Washington University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthdrive Medical Services PCGroup PAC ID 1355863952, 33 clinicians

Practice addresses (Care Compare)

1300 I St NW
Suite 400E
Washington, DC 20005-3318
Phone (888) 964-6681

6700 Alexander Bell Dr
Suite 200
Columbia, MD 21046-2105
Phone (888) 964-6681

Hospital & facility affiliations

National Provider Directory

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

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.

Hospital & facility affiliations 1

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": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1174180277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3461 JACOBS FORD WAY",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210762502",
            "telephone_number": "404-408-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 ALEXANDER BELL DR STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462105",
            "telephone_number": "888-964-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SERINA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0095042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.