Individual provider Active NPI

Stephen A Lewis, MD

  • Interventional Cardiology Physician
  • Charleston, WV
National Provider Identifier
1174598197
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
C0955 Issued in KY
Practice address
2930 Chesterfield Ave
Charleston, WV 25304-1125
Phone
(304) 343-9923
Fax
(304) 343-9925
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 15597 WV
Interventional Cardiology Physician 207RI0011X 15597 WV
Interventional Cardiology Physician 207RI0011X C0955 KY Primary

Addresses

Primary practice location

2930 Chesterfield Ave
Charleston, WV 25304-1125

Mailing address

2930 Chesterfield Ave
Charleston, WV 25304-1125
Phone (304) 343-9923

Other identifiers 3

IdentifierTypeStateIssuer
0085657000MedicaidWV
P01067370OtherWVMEDICARE RAILROAD
CO955OtherKYKY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20070226000011 WV Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7012019862 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
West Virginia University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Health AssociationGroup PAC ID 1759291313, 69 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

186 Pinnell St
Ripley, WV 25271-9101
Phone (304) 373-1546

3669 Teays Valley Rd
Hurricane, WV 25526-9695
Phone (304) 414-4841

4315 Maccorkle Ave SE
Charleston, WV 25304-2503
Phone (304) 926-8080

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 766-3600

510 Cherry St
Suite 101
Bluefield, WV 24701-3336
Phone (304) 325-1982

Hospital & facility affiliations

  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029
  • Jackson General Hospital Hospital, Ripley, WV, CCN 511320
  • Princeton Community Hospital Assn Inc Hospital, Princeton, WV, CCN 510046
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
  • Camden Clark Medical Center Hospital, Parkersburg, WV, CCN 510058

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting14
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15597WVMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Mar 19, 2025 Accepting new patients
Community Health Association CurrentSince Mar 20, 2025 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Jan 11, 2014 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Jan 11, 2014 Accepting new patients
Princeton Community Hospital Assn Inc. CurrentSince Mar 1, 2023 Accepting new patients
Community Health Association CurrentSince Mar 20, 2025 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Mar 1, 2023 Accepting new patients
Charleston Area Medical Center, Inc. Current Accepting new patients
Camden-Clark Physician Corporation CurrentSince Dec 31, 2025 Accepting new patients
West Virginia University Medical Corporation CurrentSince Mar 19, 2025 Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients
Charleston Cardiology Group PLLC Cardiovascular Disease Past Accepting new patients
Community Health Association Past Accepting new patients
Associated Radiologists, Inc. Past Accepting new patients

Locations

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

510 Cherry St
Ste 101
Bluefield, WV 24701
Phone (304) 325-1982

2345 Chesterfield Ave
Ste 305
Charleston, WV 25304
Phone (304) 352-9160

2930 Chesterfield Ave
Charleston, WV 25304
Phone (304) 343-9923

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

415 Morris St
Ste 309
Charleston, WV 25301
Phone (304) 348-3290

3703 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-2273

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

1013 Garfield Ave
Parkersburg, WV 26101
Phone (304) 424-4574

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

122 12th St
Ste B
Princeton, WV 24740
Phone (304) 325-1982

186 Pinnell St
Ripley, WV 25271
Phone (304) 373-1546

122 Pinnell St
Ripley, WV 25271
Phone (304) 373-1544

Interoperability endpoints

  • Direct secure messaging: slewis395258@direct.wvuhsdirect.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1174598197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 CHESTERFIELD AVE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041125",
            "telephone_number": "304-343-9923",
            "fax_number": "304-343-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 CHESTERFIELD AVE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041125",
            "telephone_number": "304-343-9923",
            "fax_number": "304-343-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "STEPHEN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2023-10-10",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WV",
            "license": "15597",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WV",
            "license": "15597",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "C0955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0085657000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01067370",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY LICENSE",
            "identifier": "CO955",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.