Petrina Celeste Lewis, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

P000000595 Issued in WA

Practice address

9343 E Shea Blvd # B-130
Scottsdale, AZ 85260-6802

Phone

(425) 277-3668

Fax

(425) 277-0732

NPI assigned

Jul 12, 2005

Last updated

Jul 28, 2021By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Enrolled in WA, AZ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Foot and Ankle Center PSGroup PAC ID 6305736067, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Foot & Ankle Center, PS

  dba Northwest Foot and Ankle Center, PS

  • Podiatrist
  • Renton, WA
  • NPI 1346265261
  Medicare reassignment Care Compare group NPD Authorized official
• Southwest Foot and Ankle Center LLC

  dba Southwest Foot & Ankle

  • Podiatrist
  • Scottsdale, AZ
  • NPI 1497328330
  Medicare reassignment NPD Authorized official
• Northwest Foot and Ankle Center, PS

  • Podiatrist
  • Puyallup, WA
  • NPI 1790963866
  NPD

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1215935457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 TALBOT RD S",
            "address_2": "SUITE 102",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556238",
            "telephone_number": "425-277-3668",
            "fax_number": "425-277-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9343 E SHEA BLVD # B-130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606802",
            "telephone_number": "425-277-3668",
            "fax_number": "425-277-0732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Talbot Rd S",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980556238",
            "country_code": "US",
            "telephone_number": "425-277-3668",
            "fax_number": "425-277-0732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "PETRINA",
        "middle_name": "CELESTE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "P000000595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7110729",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRY LICENSE",
            "identifier": "POD000986",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF L&I",
            "identifier": "156354",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kassie Lewis, RN
• Kelly M. Lewis, AU.D.
• Maria Fatima Bisquera Lewis, DMD
• Mark J. Lewis, M.D.
• Marlena Passeri Lewis
• Rebecca Lewis
• Ruth Ann Lewis, CRNA, NP
• Samantha Lewis
• Sandy Lewis, LPC
• Sari A. Lewis, SARI LEWIS

• Podiatrist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.