Douglas Smoot Lewis, M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

56019 Issued in AZ

Practice address

1111 E McDowell Rd
Phoenix, AZ 85006-2612

Phone

(602) 839-2000

NPI assigned

May 30, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, MI, WI3 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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 55)

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CDIFCD
• Direct secure messaging: dlewis222902@direct.valleywisehealth.org

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.

• Banner - University Hospital Based Physicians LLC

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1750751566

  AZ

  Medicare reassignment Care Compare group NPD
• Banner Imaging Services LLC

  • Diagnostic Radiology Physician
  • Sun City, AZ
  • NPI 1770139958

  AZ, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Sonoran Radiology LTD

  • Vascular & Interventional Radiology Physician
  • Mesa, AZ
  • NPI 1033745708

  AZ, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Vascular and Interventional Partners PLLC

  • Vascular & Interventional Radiology Physician
  • Scottsdale, AZ
  • NPI 1457021438

  AZ, Vascular & Interventional Radiology

  Medicare reassignment Care Compare group NPD
• Interventional Services Group PLLC

  • Vascular & Interventional Radiology Physician
  • Phoenix, AZ
  • NPI 1093667933

  AZ

  Medicare reassignment Care Compare group
• Munson Medical Group

  • Diagnostic Radiology Physician
  • Traverse City, MI
  • NPI 1851243901

  MI

  Medicare reassignment Care Compare group
• Upland Hills Health Inc

  • Surgery Physician
  • Dodgeville, WI
  • NPI 1821258740

  WI

  Medicare reassignment Care Compare group
• Upland Hills Health, Inc

  • Community Based Hospice Care Agency
  • Dodgeville, WI
  • NPI 1659472397

  WI

  Medicare reassignment Care Compare group
• Associated Valley Radiologists LTD

  • Diagnostic Radiology Physician
  • Glendale, AZ
  • NPI 1932683257

  AZ, Diagnostic Radiology

  Medicare reassignment NPD
• District Medical Group, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Phoenix, AZ
  • NPI 1336472448

  AZ

  Medicare reassignment NPD
• Evac LLC

  • Nephrology Physician
  • Chandler, AZ
  • NPI 1073772588

  AZ, Vascular & Interventional Radiology

  Medicare reassignment NPD
• Banner Imaging Services LLC

  • Radiology Clinic/Center
  • Phoenix, AZ
  • NPI 1518713262
  Care Compare group

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

• Banner - University Medical Center Phoenix

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1841224870

  Hospital

  Care Compare affiliation
• Hospital Development of West Phoenix Inc

  • General Acute Care Hospital
  • Goodyear, AZ
  • NPI 1093791170

  Hospital

  Care Compare affiliation
• SMSJ Tucson Holdings LLC

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1538535158

  Hospital

  Care Compare affiliation
• Munson Healthcare Grayling

  • Rural Acute Care Hospital
  • Grayling, MI
  • NPI 1083010953

  Hospital

  Care Compare affiliation
• Munson Medical Center

  • General Acute Care Hospital
  • Traverse City, MI
  • NPI 1952307852

  Hospital

  Care Compare affiliation

Specialty

Diagnostic Radiology

Education

Baylor College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Banner Imaging Services LLC 122 clinicians

Munson Medical Group 191 clinicians

Banner - University Hospital Based Physicians LLC 343 clinicians

Interventional Services Group PLLC 9 clinicians

Vascular and Interventional Partners PLLC 25 clinicians

Sonoran Radiology LTD 466 clinicians

Upland Hills Health Inc 97 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002
• Abrazo West Campus Hospital, Goodyear, AZ, CCN 030110
• Munson Medical Center Hospital, Traverse City, MI, CCN 230097
• St Joseph'S Hospital Hospital, Tucson, AZ, CCN 030011
• Munson Healthcare Grayling Hospital Hospital, Grayling, MI, CCN 230058

Procedures performed for Medicare patients

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1205197829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22455 N MILLER RD # B100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554956",
            "telephone_number": "480-435-9100",
            "fax_number": "480-702-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062612",
            "telephone_number": "602-839-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22455 N Miller Rd # B100",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852554956",
            "country_code": "US",
            "telephone_number": "480-435-9100",
            "fax_number": "480-702-0083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DOUGLAS",
        "middle_name": "SMOOT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-30",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10043101",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "56019",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AZ",
            "license": "56019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401782",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig W Lewis, PARAMOUNT PARATRANS
• Danielle Lewis, N.D.
• Davita D Lewis, PHARMD
• Deangela Lewis, MHS
• Desiree A Lewis, MAPC, LPC
• Harry Robert Lewis
• Ishaketa Marjon Lewis
• Ivy Lewis, FNP
• Jacob Lewis, RN
• Jay L Lewis, PH.D.

• All providers in Phoenix, AZ
• Vascular & Interventional Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.