Individual provider Active NPI

Kerry Lewis, M.D.

  • Maternal & Fetal Medicine Physician
  • Washington, DC
National Provider Identifier
1184624918
Registry record updated Dec 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
20753 Issued in DC
Practice address
2041 Georgia Ave NW
OBGYN Administrative Suite
Washington, DC 20060-0001
Phone
(202) 865-1164
Fax
(202) 865-7532
NPI assigned
Jul 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 20753 DC Primary

Addresses

Primary practice location

2041 Georgia Ave NW
OBGYN Administrative Suite
Washington, DC 20060-0001

Mailing address

2041 Georgia Ave NW
OBGYN Administrative Suite
Washington, DC 20060-0001
Phone (202) 865-1164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, DC2 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
I20050718000840 SD Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 7911934351 Reassigns benefits to 1 organization
I20050923000761 DC Practitioner - Obstetrics/Gynecology 7911934351 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Wisconsin School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

251 National Harbor Blvd
FL 5
Oxon Hill, MD 20745-1052
Phone (301) 618-2273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20753DCMDMaternal & Fetal Medicine Physician
2030MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Dimensions Healthcare Associates, Inc. Current Accepting new patients
Avera McKennan CurrentSince Aug 15, 2010 Accepting new patients
Avera McKennan Maternal & Fetal Medicine CurrentSince Aug 15, 2010 Accepting new patients
Dimensions Health Associates Dba University of Maryland Capital Region CurrentSince Jul 1, 2016 Accepting new patients
Avera McKennan Current Accepting new patients
Howard University CurrentSince Jan 1, 2014 Accepting new patients
Dimensions Healthcare Associates Inc CurrentSince Jul 1, 2016 Accepting new patients
Dimensions Health Corporation Past Accepting new patients

Locations

2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785

2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

251 National Harbor Blvd
Fl 5
Oxon Hill, MD 20745
Phone (301) 618-2273

2101 Medical Park Dr
Ste 305
Silver Spring, MD 20902
Phone (301) 754-0833

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

323 SW 10th St
Madison, SD 57042
Phone (605) 256-6551

1417 S Cliff Ave
Ste 100
Sioux Falls, SD 57105
Phone (605) 322-7580

Interoperability endpoints

  • Direct secure messaging: klewis801652@direct.umm.edu
  • Direct secure messaging: kerry.lewis@avera.sdhealthlink.net

Organizations & group practices 8

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229904000000",
    "number": "1184624918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW",
            "address_2": "OBGYN ADMINISTRATIVE SUITE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200600001",
            "telephone_number": "202-865-1164",
            "fax_number": "202-865-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW",
            "address_2": "OBGYN ADMINISTRATIVE SUITE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200600001",
            "telephone_number": "202-865-1164",
            "fax_number": "202-865-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KERRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2008-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "DC",
            "license": "20753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.