Individual provider Active NPI

Eugene Alexander Lewis II, PA-C

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1225434517
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9108345 Issued in FL
Practice address
8660 Buccilli Dr
Apt 204
Orlando, FL 32829-8394
Phone
(843) 503-8410
NPI assigned
Nov 13, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9108345 FL Primary

Addresses

Primary practice location

8660 Buccilli Dr
Apt 204
Orlando, FL 32829-8394

Mailing address

8660 Buccilli Dr
Apt 204
Orlando, FL 32829-8394
Phone (843) 503-8410

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150428001586 FL Practitioner - Physician Assistant 7012236987 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.2 of 100Reported as group
Quality
78.64
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System/ Sunbelt, Inc. Physician Assistant CurrentSince Jan 20, 2021 Accepting new patients
FL-I Medical Services LLC Physician Assistant CurrentSince Jul 23, 2016 Accepting new patients
FL-I Medical Services LLC Physician Assistant CurrentSince Jul 23, 2016 Accepting new patients
Adventist Health System/Sunbelt, Inc. Physician Assistant CurrentSince Jan 20, 2021 Accepting new patients
Clover Emergency Physicians LLC Past Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

Organizations & group practices 9

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": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1225434517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8660 BUCCILLI DR",
            "address_2": "APT 204",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328298394",
            "telephone_number": "843-503-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8660 BUCCILLI DR",
            "address_2": "APT 204",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328298394",
            "telephone_number": "843-503-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "EUGENE",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.