Individual provider Active NPI

Danny Lewis Jr., MD

  • Family Medicine Physician
  • Waterloo, IA
National Provider Identifier
1235580366
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R10549 Issued in IA
Practice address
2055 Kimball Ave Ste 101
Waterloo, IA 50702-5047
Phone
(319) 272-2112
Fax
(319) 272-2107
NPI assigned
Jun 30, 2016
Last updated
Aug 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R10549 IA Primary

Addresses

Primary practice location

2055 Kimball Ave Ste 101
Waterloo, IA 50702-5047

Mailing address

5024 Southfork LN
Waterloo, IA 50701-9576
Phone (515) 664-9387

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HIM@nhmhn.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170914000602 IA Practitioner - Emergency MedicinePractitioner - Family Practice 2668765132 Reassigns benefits to 14 organizations
I20250107000398 MN Practitioner - Family Practice 2668765132 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
University of Minnesota Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 15TH St N
Humboldt, IA 50548-1008
Phone (515) 332-4200

1000 15TH St N B
HCMH Walk in Clinic
Humboldt, IA 50548-1008
Phone (515) 332-7555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R10549IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph's Area Health Services CurrentSince Jan 20, 2025 Accepting new patients
St. Joseph's Area Health Services Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Mercy Medical Center-Centerville CurrentSince Mar 18, 2024 Accepting new patients
Humboldt County Memorial Hospital Current Accepting new patients
Monroe County Hospital Current Accepting new patients
Monroe County Hospital Family Medicine Current Accepting new patients
Mercy Medical Center-Centerville Current Accepting new patients
Sumner Community Club Current Accepting new patients
Davis County Hospital CurrentSince Feb 9, 2018 Accepting new patients
Mercy Medical Center-Centerville CurrentSince Mar 18, 2024 Accepting new patients
Crawford County Memorial Hospital Current Accepting new patients
Knoxville Community Hospital Inc Family Medicine CurrentSince Feb 3, 2018 Accepting new patients
Shelby County Chris a Myrtue Memorial Hospital Current Accepting new patients
Lifecare Medical Center CurrentSince Jan 4, 2026 Accepting new patients
Lifecare Medical Center CurrentSince Jan 4, 2026 Accepting new patients
Crawford County Memorial Hospital Current Accepting new patients
Crawford County Memorial Hospital CurrentSince Jan 26, 2025 Accepting new patients
Knoxville Community Hospital Inc CurrentSince Feb 3, 2018 Accepting new patients
Davis County Hospital CurrentSince Feb 9, 2018 Accepting new patients
Shelby County Chris a. Myrtue Memorial Hospital Family Medicine CurrentSince Nov 6, 2023 Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients

Locations

6580 165th St
Albia, IA 52531
Phone (641) 932-1756

509 N Madison St
Bloomfield, IA 52537
Phone (641) 664-2145

1 Saint Joseph Dr
Centerville, IA 52544
Phone (641) 437-3482

100 Medical Pkwy
Denison, IA 51442
Phone (712) 265-2500

100 Medical Pkwy
Ste A
Denison, IA 51442
Phone (712) 263-5021

1213 Garfield Ave
Harlan, IA 51537
Phone (712) 755-4316

1000 15th St N
Humboldt, IA 50548
Phone (515) 332-4200

1600 1st St E
Independence, IA 50644
Phone (319) 332-0999

1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464

909 W 1st St
Sumner, IA 50674
Phone (563) 578-3275

502 N 9th Ave
Vinton, IA 52349
Phone (319) 472-6200

3314 Solutions Ctr
Chicago, IL 60677

600 Pleasant Ave S
Park Rapids, MN 56470
Phone (218) 732-3311

Interoperability endpoints

  • Direct secure messaging: dlewis4070443@direct.trinity-health.org
  • Direct secure messaging: dlewis417421@direct.unitypoint.org
  • Direct secure messaging: him@nhmhn.cernerdirect.com

Organizations & group practices 24

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 24

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1235580366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 SOUTHFORK LN",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507019576",
            "telephone_number": "515-664-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 KIMBALL AVE STE 101",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025047",
            "telephone_number": "319-272-2112",
            "fax_number": "319-272-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DANNY",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-30",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R10549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HIM@nhmhn.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "MercyOne New Hampton direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccda",
            "address_1": "5024 Southfork Ln",
            "city": "Waterloo",
            "state": "IA",
            "country_code": "US",
            "postal_code": "507019576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.