Individual provider Active NPI

Michael Elliot Lewis, MD

  • Cardiovascular Disease Physician
  • Boca Raton, FL
National Provider Identifier
1215929682
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME 0032839 Issued in FL
Practice address
1000 NW 9TH CT
Suite 201
Boca Raton, FL 33486-2268
Phone
(561) 395-4600
Fax
(561) 395-6903
NPI assigned
Aug 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME 0032839 FL Primary

Addresses

Primary practice location

1000 NW 9TH CT
Suite 201
Boca Raton, FL 33486-2268

Mailing address

1000 NW 9TH CT
Suite 201
Boca Raton, FL 33486-2268
Phone (561) 395-4600

Other identifiers 1

IdentifierTypeStateIssuer
046319100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20051003000338 FL Practitioner - Cardiovascular Disease (Cardiology) 0547295206 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 0032839FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Cardiology of Boca Raton LLP Cardiovascular Disease CurrentSince Jun 1, 2005 Accepting new patients
Boca Raton Ekg Readers Inc Cardiovascular Disease CurrentSince Feb 28, 2010 Accepting new patients
Boca Raton Ekg Readers Cardiovascular Disease Past Accepting new patients

Locations

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

1000 NW 9th Ct
Ste 201
Boca Raton, FL 33486
Phone (561) 395-4600

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1215929682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NW 9TH CT",
            "address_2": "SUITE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862268",
            "telephone_number": "561-395-4600",
            "fax_number": "561-395-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NW 9TH CT",
            "address_2": "SUITE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862268",
            "telephone_number": "561-395-4600",
            "fax_number": "561-395-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MICHAEL",
        "middle_name": "ELLIOT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 0032839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046319100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.