Individual provider Active NPI

Frederick W Lewis, M.D.

  • Gastroenterology Physician
  • Englewood, CO
National Provider Identifier
1184738320
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
28833 Issued in CO
Practice address
499 E Hampden Ave
Ste 420
Englewood, CO 80113-2780
Phone
(303) 788-8888
Fax
(866) 896-1158
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 28833 CO Primary

Addresses

Primary practice location

499 E Hampden Ave
Ste 420
Englewood, CO 80113-2780

Mailing address

10103 Ridgegate Pkwy
Ste 312
Lone Tree, CO 80124-5520
Phone (303) 788-8888

Other identifiers 2

IdentifierTypeStateIssuer
1184738320OtherCONPPES NPI
01288331MedicaidCO

Other names 1

  • Dr. Fred Lewis Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20051004000005 CO Practitioner - Gastroenterology 9133019672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Emory University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Denver Gastroenterology, P.CGroup PAC ID 2062302508, 54 clinicians

Practice addresses (Care Compare)

499 E Hampden Ave
Suite 420
Englewood, CO 80113-2794
Phone (303) 788-8888

Hospital & facility affiliations

  • AdventHealth Littleton Hospital, Littleton, CO, CCN 060113
  • HCA-Healthone Dba Swedish Medical Center Hospital, Englewood, CO, CCN 060034

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy60
Upper gastrointestinal (GI) endoscopy for acid reflux102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28833COMDGastroenterology Physician

Interoperability endpoints

  • Direct secure messaging: frederick.lewis.1@3461.direct.athenahealth.com

Organizations & group practices 1

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 4

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1184738320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PKWY",
            "address_2": "STE 312",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245520",
            "telephone_number": "303-788-8888",
            "fax_number": "866-456-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 E HAMPDEN AVE",
            "address_2": "STE 420",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132780",
            "telephone_number": "303-788-8888",
            "fax_number": "866-896-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "FREDERICK",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "28833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES NPI",
            "identifier": "1184738320",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01288331",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRED",
            "last_name": "LEWIS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.