Spencer Ryan Lewis, M.D.
Individual provider Active NPI Family Medicine Physician · San Antonio, TX
NPI 1245596063 · NPPES record last updated Apr 23, 2020
Key facts
- NPI
- 1245596063
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- Q5471 (TX)
- Practice address
- 3750 Commercial Ave
San Antonio, TX 78221-3117 - Phone
- (210) 922-7000
- Fax
- (210) 923-6355
- NPI assigned
- Apr 5, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 22
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- El Centro del Barrio Inc
Practice addresses (Care Compare)
6315 S Zarzamora St
San Antonio, TX 78211-3218
Phone (210) 922-7000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151013002223 | TX | Practitioner - Family Practice | 6002125093 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q5471 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Centro del Barrio, Inc. | Current |
Accepting new patients | |
| El Centro del Barrio, Inc. | Current |
Accepting new patients | |
| El Centro del Barrio, Inc. | Past | Accepting new patients | |
| El Centro del Barrio Inc | Past | Accepting new patients |
Locations
6315 S Zarzamora St
San Antonio, TX 78211
Phone (210) 924-9254
3750 Commercial Ave
San Antonio, TX 78221
Phone (210) 334-3700
Interoperability endpoints
- spencer.lewis.p1@direct.centromed.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Q5471 | TX | Yes |
Addresses
Primary practice location
3750 Commercial Ave
San Antonio, TX 78221-3117
Mailing address
3750 Commercial Ave
San Antonio, TX 78221-3117
Phone (210) 922-7000
NPI Registry JSON
{
"created_epoch": "1333584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587600000000",
"number": "1245596063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 COMMERCIAL AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782213117",
"telephone_number": "210-922-7000",
"fax_number": "210-923-6355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 COMMERCIAL AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782213117",
"telephone_number": "210-922-7000",
"fax_number": "210-923-6355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "SPENCER",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-05",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "Q5471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
- Richard William Lewis Jr.
- Sarah Lewis
- Saundra J Lewis
- Sharon L Lewis
- Shayla Lewis
- Tatyana Monique Lewis
- Terreni J Lewis
- Terri W Lewis
- Virgena A Lewis
- William Cannon Lewis
All providers in San Antonio, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.