Individual provider Active NPI

Michael Lewis, PAC

  • Physician Assistant
  • Elkton, MD
National Provider Identifier
1235196965
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0003053 Issued in MD
Practice address
310 E Pulaski Hwy
Elkton, MD 21921-6435
Phone
(443) 485-6213
Fax
(443) 485-6226
NPI assigned
Apr 27, 2006
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C5-0012131 DE
Physician Assistant 363A00000X C0003053 MD Primary

Addresses

Primary practice location

310 E Pulaski Hwy
Elkton, MD 21921-6435

Mailing address

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (443) 643-2000

Other practice location 1

200 Hygeia Dr
Newark, DE 19713-2049
Phone (302) 273-1701

Other practice location 2

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (443) 643-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, DE3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050221000728 MD Practitioner - Physician Assistant 2466405261 Reassigns benefits to 3 organizations
I20210419000687 DC Practitioner - Physician Assistant 2466405261 Reassigns benefits to 2 organizations
I20250127000474 DE Practitioner - Physician Assistant 2466405261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Quality PartnersGroup PAC ID 0143657247, 96 clinicians

Practice addresses (Care Compare)

101 N E PLZ
Christianacare Gohealth Urge
North East, MD 21901-3633
Phone (410) 656-7867

1011 E Songsmith Dr
Christianacare Gohealth Urgent Care
Bear, DE 19701-1194
Phone (302) 918-7509

2645 Pulaski Hwy
SPC a
Newark, DE 19702-3909
Phone (302) 273-1317

310 E Pulaski Hwy
Christianacare Gohealth Urge
Elkton, MD 21921-6435
Phone (443) 485-6213

4724 Limestone Rd
Wilmington, DE 19808-1928
Phone (302) 467-3595

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C5-0012131DEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates, PA CurrentSince May 15, 2024 Accepting new patients
MNR Industries LLC Current Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince May 15, 2024 Accepting new patients
MNR Industries, LLC CurrentSince Apr 1, 2021 Accepting new patients
MNR Industries, LLC CurrentSince Apr 1, 2021 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince May 15, 2024 Accepting new patients
MNR Industries, LLC CurrentSince Apr 1, 2021 Accepting new patients
Dresnick Sterling Emergency Physicians of Maryland PA Past Accepting new patients
Delmar Emergency Specialists PA Past Accepting new patients
Christiana Care Quality Partners PastSince Aug 1, 2021 Accepting new patients

Locations

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

310 E Pulaski Hwy
Elkton, MD 21921
Phone (443) 485-6213

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

101 North East Plz
North East, MD 21901
Phone (410) 543-2020

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Interoperability endpoints

  • Direct secure messaging: michael.lewis@ghuccc.eclinicaldirectplus.com
  • Direct secure messaging: mlewis651721@direct.umm.edu

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1235196965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UPPER CHESAPEAKE DR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144324",
            "telephone_number": "443-643-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E PULASKI HWY",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216435",
            "telephone_number": "443-485-6213",
            "fax_number": "443-485-6226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hygeia Dr",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132049",
            "country_code": "US",
            "telephone_number": "302-273-1701",
            "fax_number": "302-273-4497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Upper Chesapeake Dr",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210144324",
            "country_code": "US",
            "telephone_number": "443-643-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MICHAEL",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0012131",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.