Active NPI
Matthew David Lewis, M.D.
- Family Medicine Physician
- Rocky Ford, CO
National Provider Identifier
1174626402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 33928
- Practice address
- 20817 Highway 266
Rocky Ford, CO 81067 - Phone
- (719) 254-3532
- NPI assigned
- Sep 5, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 33928 | CO | Primary |
Addresses
Primary practice location
20817 Highway 266
Rocky Ford, CO 81067
Mailing address
PO Box 481
La Junta, CO 81050
Phone (719) 469-9220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86951556 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Ford Family Health Center LLC | Past | Accepting new patients | |
| Hospitalists of Pueblo | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/26604/brand/1/csg/1/fhir/r4
- ml344@yourcarecommunity.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Pueblo, CO
- NPI 1922016393
-
- Rural Health Clinic/Center
- Rocky Ford, CO
- NPI 1508932757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1174626402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 481",
"city": "LA JUNTA",
"state": "CO",
"postal_code": "81050",
"telephone_number": "719-469-9220",
"fax_number": "719-384-6511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20817 HIGHWAY 266",
"city": "ROCKY FORD",
"state": "CO",
"postal_code": "81067",
"telephone_number": "719-254-3532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "MATTHEW",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "33928",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "86951556",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Ford, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.