NPIMap

Individual provider Active NPI

Kenneth C Lewis, MD

  • Pain Medicine (Anesthesiology) Physician
  • Grand Junction, CO
National Provider Identifier
1285776864
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
33466 Issued in CO
Practice address
2460 Patterson Rd Unit 4
Grand Junction, CO 81505-1027
Phone
(970) 254-1686
Fax
(970) 858-0798
NPI assigned
Feb 12, 2007
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 33466 CO
Pain Medicine (Anesthesiology) Physician 207LP2900X 33466 CO Primary

Addresses

Primary practice location

2460 Patterson Rd Unit 4
Grand Junction, CO 81505-1027

Mailing address

PO Box 4433
Grand Junction, CO 81502-4433
Phone (970) 254-1686

Other identifiers 3

IdentifierTypeStateIssuer
LE668943OtherBLUE CROSS
P00180467OtherRAILROAD MEDICARE
12650862MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040803000025 CO Practitioner - Anesthesiology 2062483340 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Arizona College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Citizens' Foundation for Health Care IncGroup PAC ID 7517951536, shared by 4 NPIs, 25 clinicians

Practice addresses (Care Compare)

201 W Park Dr
Lynx Healthcare Kenneth Lewis MD P
Grand Junction, CO 81505-1469
Phone (509) 591-0070

310 County Rd
14 Unit C
Del Norte, CO 81132-8759
Phone (719) 657-2418

310 County Rd
Suite 14
Del Norte, CO 81132

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33466COMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth C. Lewis MD,LLC Anesthesiology CurrentSince Jul 28, 2004 Accepting new patients
Valley Citizens' Foundation for Health Care Inc CurrentSince Mar 9, 2025 Accepting new patients
Valley Citizens' Foundation for Health Care Inc CurrentSince Mar 9, 2025 Accepting new patients
Valley Citizens' Foundation for Health Care Inc Current Accepting new patients
Anesthesiologists of Bartlesville Anesthesiology Past Accepting new patients
Kenneth C. Lewis MD,LLC Pain Medicine PastSince Jul 3, 2022 Accepting new patients

Locations

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

300 W Ottley Ave
Fruita, CO 81521
Phone (970) 858-3900

300 W Ottley Ave
#W
Fruita, CO 81521

551 Kokopelli Blvd
Unit K
Fruita, CO 81521
Phone (970) 270-2259

201 W Park Dr
Grand Junction, CO 81505
Phone (970) 242-0162

2345 N 7th St
Grand Junction, CO 81501
Phone (970) 241-8782

2460 Patterson Rd
Unit 4
Grand Junction, CO 81505
Phone (970) 245-0990

1033 2nd Ave
Monte Vista, CO 81144
Phone (719) 852-8827

Organizations & group practices 6

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.

Hospital & facility affiliations 11

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1285776864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4433",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815024433",
            "telephone_number": "970-254-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 PATTERSON RD UNIT 4",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051027",
            "telephone_number": "970-254-1686",
            "fax_number": "970-858-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KENNETH",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "33466",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CO",
            "license": "33466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "LE668943",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00180467",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12650862",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.