Individual provider Active NPI

Jonathan Daniel Lewis, M.D.

  • Diagnostic Radiology Physician
  • Newport News, VA
National Provider Identifier
1205246741
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101268621 Issued in VA
Practice address
500 J Clyde Morris Blvd
Riverside Regional Medical Center
Newport News, VA 23601-1929
Phone
(757) 612-6999
Fax
(757) 867-7547
NPI assigned
May 6, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD484234 PA
Diagnostic Radiology Physician 2085R0202X 0101268621 VA Primary

Addresses

Primary practice location

500 J Clyde Morris Blvd
Riverside Regional Medical Center
Newport News, VA 23601-1929

Mailing address

PO Box 12087
Peninsula Radiological Associates
Newport News, VA 23612-2087
Phone (757) 867-6101

Other practice location 1

5501 Old York Rd
Philadelphia, PA 19141-3018
Phone (215) 456-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA, GA, TN, AZ, NM, AL, FL, IN, PA10 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 10

Enrollment IDStateProvider typePAC IDDetails
I20190612001993 NC Practitioner - Diagnostic Radiology 2668690256 Reassigns benefits to 2 organizations
I20200601000305 VA Practitioner - Diagnostic Radiology 2668690256 Reassigns benefits to 8 organizations
I20231211002555 GA Practitioner - Diagnostic Radiology 2668690256 Reassigns benefits to 1 organization
I20240125000443 TN Practitioner - Diagnostic Radiology 2668690256 Reassigns benefits to 2 organizations
I20240419001832 AZ Practitioner - Diagnostic Radiology 2668690256 Reassigns benefits to 1 organization
I20240516001932 NM Practitioner - Diagnostic Radiology 2668690256 Reassigns benefits to 1 organization
I20240522001159 AL Practitioner - Diagnostic Radiology 2668690256 Reassigns benefits to 1 organization
I20250218001728 FL Practitioner - Diagnostic Radiology 2668690256 Reassigns benefits to 1 organization
I20260425000493 IN Practitioner - Diagnostic Radiology 2668690256 Reassigns benefits to 1 organization
I20260506000824 PA Practitioner - Diagnostic Radiology 2668690256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middle Tennessee Imaging LLCGroup PAC ID 5698743706, 121 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians
Impression Imaging LLCGroup PAC ID 1759547979, 34 clinicians

Practice addresses (Care Compare)

1840 Medical Ctr Pkwy
Suite 101
Murfreesboro, TN 37129-3237
Phone (615) 896-1234

2911 Ellwood Ave
Richmond, VA 23221-3021
Phone (281) 742-0469

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 610-4172

5501 Old York Rd
Phila, PA 19141-3018
Phone (215) 456-9850

6853 SW 18TH St
Suite 101
Boca Raton, FL 33433-7056
Phone (561) 473-4610

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD484234PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Medical X-Ray Consultants, LTD Diagnostic Radiology CurrentSince Apr 15, 2024 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Apr 29, 2024 Accepting new patients
Middle Tennessee Imaging LLC Diagnostic Radiology CurrentSince Feb 7, 2024 Accepting new patients
Radiology Associates of Appleton, S.C. Diagnostic Radiology CurrentSince May 13, 2024 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Apr 17, 2024 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc Diagnostic Radiology CurrentSince Mar 1, 2024 Accepting new patients
Granville Health System Current Accepting new patients
Pikeville Medical Center, Inc. CurrentSince Oct 9, 2023 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc CurrentSince Mar 1, 2024 Accepting new patients
Granville Health System Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Tanner Neuroscience Specialist CurrentSince Nov 4, 2023 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Aug 24, 2024 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Impression Imaging LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology CurrentSince Oct 30, 2023 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Nov 8, 2023 Accepting new patients
Pikeville Medical Center Inc CurrentSince Oct 9, 2023 Accepting new patients
Scotland Memorial Hospital Inc Diagnostic Radiology CurrentSince Aug 24, 2024 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc. Current Accepting new patients
Tomah Memorial Hospital Inc Diagnostic Radiology CurrentSince Apr 29, 2024 Accepting new patients
Medical Xray Consultants, LTD PastSince May 16, 2021 Accepting new patients

Locations

1032 Main St S
Wedowee, AL 36278
Phone (256) 357-2111

6853 SW 18th St
Ste 101
Boca Raton, FL 33433
Phone (561) 473-4610

3111 N University Dr
Ste 115
Coral Springs, FL 33065
Phone (954) 580-2780

7180 N University Dr
Tamarac, FL 33321
Phone (954) 580-2780

200 Allen Memorial Dr
Bremen, GA 30110
Phone (770) 537-5851

100 Greenway Blvd
Fl 2
Carrollton, GA 30117
Phone (770) 838-8710

706 Dixie St
Ste 220
Carrollton, GA 30117
Phone (770) 812-8825

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

1010 College St
Oxford, NC 27565
Phone (919) 623-5115

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000

3310 Aspen Grove Dr
Ste 101
Franklin, TN 37067
Phone (615) 771-0171

1840 Medical Center Pkwy
Ste 101
Murfreesboro, TN 37129
Phone (615) 896-1234

1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100

28 White Bridge Pike
Ste 111
Nashville, TN 37205
Phone (615) 986-6153

185 Hospital Rd
Winchester, TN 37398
Phone (931) 962-4061

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

1535 Slate Creek Rd
Grundy, VA 24614
Phone (276) 935-1125

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181

Interoperability endpoints

  • Direct secure messaging: jlewis864332@direct.emplifyhealth.org
  • Direct secure messaging: jlewis2925889@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 5

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": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1205246741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12087",
            "address_2": "PENINSULA RADIOLOGICAL ASSOCIATES",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236122087",
            "telephone_number": "757-867-6101",
            "fax_number": "757-867-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 J CLYDE MORRIS BLVD",
            "address_2": "RIVERSIDE REGIONAL MEDICAL CENTER",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011929",
            "telephone_number": "757-612-6999",
            "fax_number": "757-867-7547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5501 Old York Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413018",
            "country_code": "US",
            "telephone_number": "215-456-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JONATHAN",
        "middle_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-06",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD484234",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101268621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.