Elena Jean Lewis, MD

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

EL085524 Issued in MI

Practice address

1324 W Milham Ave
Suite 1
Portage, MI 49024-2239

Phone

(269) 342-0196

Fax

(269) 342-0532

NPI assigned

Jun 8, 2007

Sex

Female

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 2

Medicare fee-for-service enrollment

Enrolled in MI

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

Allergy/Immunology

Education

University of Toledo College of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Asthma Allergy Centers PCGroup PAC ID 9931146347, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Asthma Allergy Centers P.C.

  • Allergy Physician
  • Battle Creek, MI
  • NPI 1699721928
  Medicare reassignment Care Compare group
• Asthma Allergy Care Centers PC

  • Allergy Physician
  • Battle Creek, MI
  • NPI 1003868233
  NPD (past)

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

• Bronson Methodist Hospital

  • General Acute Care Hospital
  • Kalamazoo, MI
  • NPI 1831116441
  Care Compare affiliation

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1194928994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 W MILHAM AVE",
            "address_2": "STE 1",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490242239",
            "telephone_number": "269-341-7806",
            "fax_number": "269-341-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 W MILHAM AVE",
            "address_2": "SUITE 1",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490242239",
            "telephone_number": "269-342-0196",
            "fax_number": "269-342-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ELENA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301085524",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MI",
            "license": "EL085524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "700C910950",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194928994",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brady Lesher
• Lance Letourneau, ATC, AT, LAT
• Heather Nicole Lettow, M.A.,, LPC, LMFT
• Ashley Lewis, LLC
• Brittany Lewis
• Terry Hubert Lewis, NP-C
• Zachary Lewis
• Kathernie Lietzau
• Lifehealing Home Health Care Inc.
• Lifelinc Anesthesia IV PC

• Allergy Physician in Portage, MI
• Providers in Portage, MI by specialty
• Allergy Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.