Kathryn Marie Lewis, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

H0564 Issued in TX

Practice address

4920 N.E. Stallilngs Drive
Nacogdoches, TX 75961

Phone

(936) 568-3493

Fax

(281) 548-3513

NPI assigned

Aug 31, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Radiation Oncology

Education

University of Texas Medical School at Houston, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Illinois Radiation Oncology LLCGroup PAC ID 7315040474, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospice of Southern Illinois, Inc Hospice, Belleville, IL, CCN 141504
• Memorial Hospital of Carbondale Hospital, Carbondale, IL, CCN 140164
• Herrin Hospital Hospital, Herrin, IL, CCN 140011
• Harrisburg Medical Center Hospital, Harrisburg, IL, CCN 140210
• St Joseph Memorial Hospital Hospital, Murphysboro, IL, CCN 141334

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: klewis66488@direct.stlukeshealth.org
• Direct secure messaging: klewis52977@sih.direct-ci.com
• Direct secure messaging: kathryn.lewis.p65@direct.tenet.nextgenshare.com
• Direct secure messaging: klewis767860@direct.sw.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.

• Southern Illinois Radiation Oncology LLC

  • Radiation Oncology Physician
  • Carterville, IL
  • NPI 1447318050
  Medicare reassignment Care Compare group NPD
• Kathryn M. Lewis, M.D., P.a.

  • Radiation Oncology Physician
  • Nacogdoches, TX
  • NPI 1861673063
  NPD (past) Authorized official

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

• Harrisburg Medical Center Inc

  • General Acute Care Hospital
  • Harrisburg, IL
  • NPI 1073580130
  Care Compare affiliation
• Hospice of Southern Illinois, Inc.

  • Community Based Hospice Care Agency
  • Belleville, IL
  • NPI 1720081805
  Care Compare affiliation
• Southern Illinois Hospital Services

  • General Acute Care Hospital
  • Carbondale, IL
  • NPI 1093801797
  Care Compare affiliation
• Southern Illinois Hospital Services

  • Critical Access Hospital
  • Murphysboro, IL
  • NPI 1356435135
  Care Compare affiliation
• Southern Illinois Hospital Services

  • General Acute Care Hospital
  • Herrin, IL
  • NPI 1528158573
  Care Compare affiliation

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1215920640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6325",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773256325",
            "telephone_number": "281-360-5400",
            "fax_number": "281-548-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 N.E. STALLILNGS DRIVE",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "75961",
            "telephone_number": "936-568-3493",
            "fax_number": "281-548-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KATHRYN",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "H0564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032010301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Elyse Lehmann, MD
• Robert Paul Lehmann, M.D.
• Michelle Kristen Leone, FNP-C
• Harold R Levine II, M.D.
• Chelsea Lewis, RDMS, RVT
• Liesel E.a. Leedy MD PA
• Lifecare Home Nursing, LLC
• Linda Marie Motherwell
• Linda Millican Counseling PLLC
• Carey Jynette Lindemann, M.D.

• Radiation Oncology Physician in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Radiation Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.