Gary S. Lewis, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

33004-020 Issued in WI

Practice address

136 N Main St
Suite 201
Thiensville, WI 53092-1606

Phone

(262) 242-3369

Fax

(262) 242-3219

NPI assigned

Jun 1, 2006

Last updated

Jun 15, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Family Practice

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Independent Physicians of Wisconsin LLCGroup PAC ID 3274842034, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Columbia St Marys Hospital Milwaukee Hospital, Milwaukee, WI, CCN 520051

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gary.lewis.1@18758.direct.athenahealth.com

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.

• Independent Physicians of Wisconsin, LLC

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1871975920

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Independent Physicians of Wisconsin, LLC

  • Durable Medical Equipment & Medical Supplies
  • Kenosha, WI
  • NPI 1588255996
  NPD
• Ascension Medical Group-Southeast Wisconsin Inc

  dba Ascension Medical Group

  • Internal Medicine Physician
  • Glendale, WI
  • NPI 1609881077

  Family Medicine

  NPD (past)

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

• Columbia St. Mary's Hospital Milwaukee, Inc.

  dba Ascension Columbia St Mary's Hospital Milwaukee Campus

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1871656082
  Care Compare affiliation

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1194762765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 N MAIN ST",
            "address_2": "SUITE 201",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530921606",
            "telephone_number": "262-242-3369",
            "fax_number": "262-242-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 N MAIN ST",
            "address_2": "SUITE 201",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530921606",
            "telephone_number": "262-242-3369",
            "fax_number": "262-242-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "GARY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "330004-020",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "33004-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31823100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Diane Krchma, RDN CD
• Sarah Krueger, PH.D.
• Murphy Lance, MS, OTR/L
• Christine Annette Lange, RN, RCS
• Rita W. Larsen, RDN, CD
• Lynn Fitzsimmons LLC
• Larisa I Mazur, MD
• Andrew John McGuire, D.C.
• Robert Meilbeck, PT, DPT
• Milwaukee Psychiatry SC

• Family Medicine Physician in Thiensville, WI
• Providers in Thiensville, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.