Individual provider Active NPI

Michael S Lewis, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Los Angeles, CA
National Provider Identifier
1306047139
Registry record updated Jun 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A102134 Issued in CA
Practice address
11301 Wilshire Blvd RM 1256
Los Angeles, CA 90073-1003
Phone
(310) 478-3711
NPI assigned
May 30, 2007
Last updated
Jun 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 237025 NY
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A102134 CA Primary

Addresses

Primary practice location

11301 Wilshire Blvd RM 1256
Los Angeles, CA 90073-1003

Mailing address

11301 Wilshire Blvd RM 1256
Los Angeles, CA 90073-1003
Phone (310) 478-3711

Other practice location 1

19845 Lake Chabot Rd Ste 104
Castro Valley, CA 94546-4055
Phone (510) 537-4415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CA, NC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220825000889 MI Practitioner - Pathology 5294119236 Reassigns benefits to 2 organizations
I20240126000654 CA Practitioner - Pathology 5294119236 Reassigns benefits to 2 organizations
I20250718000406 NC Practitioner - Pathology 5294119236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Boston University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Carolina Digestive Consultants PAGroup PAC ID 8820065477, 8 clinicians
Digestive Health Consultants PLCGroup PAC ID 1951363555, 10 clinicians

Practice addresses (Care Compare)

1301 20TH St
Suite 280
Santa Monica, CA 90404-2053
Phone (310) 829-6789

19845 Lake Chabot Rd
Suite 104
Castro Valley, CA 94546-4055
Phone (510) 537-4415

26 Westcare Dr
Suite 302
Sylva, NC 28779-5278
Phone (828) 586-9200

30055 Northwestern Hwy
Suite 250
Farmington Hills, MI 48334-3275
Phone (248) 985-5000

Merit-based Incentive Payment System (MIPS)

Final score
95.48 of 100Reported as group
Quality
100
Improvement activities
40
Cost
84.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A102134CAMDAnatomic Pathology & Clinical Pathology Physician
237025NYMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Health Associates of Southern California Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2024 Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Nov 18, 2024 Accepting new patients
Gastroenterology Specialists Medical Group, Inc a Medical Corporation CurrentSince Aug 1, 2024 Accepting new patients
Digestive Health Associates of Southern California CurrentSince Jan 1, 2024 Accepting new patients
Digestive Health Consultants, PLC Anatomic Pathology & Clinical Pathology CurrentSince Sep 1, 2022 Accepting new patients
Western Carolina Digestive Consultants PA CurrentSince Jun 1, 2025 Accepting new patients
Mymichigan Medical Center Saginaw Anatomic Pathology & Clinical Pathology CurrentSince Nov 18, 2024 Accepting new patients
Western Carolina Endoscopy Center, LLC Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Mount Sinai School of Medicine Anatomic Pathology & Clinical Pathology Past Accepting new patients
Inland Empire Anesthesiology a Professional Medical Corporation Past Accepting new patients

Locations

19845 Lake Chabot Rd
Ste 104
Castro Valley, CA 94546
Phone (510) 537-4415

27206 Calaroga Ave
Ste 212
Hayward, CA 94545
Phone (510) 887-1777

1301 20th St
Ste 280
Santa Monica, CA 90404
Phone (310) 829-6789

30055 Northwestern Hwy
Ste 250
Farmington Hills, MI 48334
Phone (248) 985-5000

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000

26 Westcare Dr
Ste 302
Sylva, NC 28779
Phone (828) 586-7427

Interoperability endpoints

  • FHIR API: https://35e809af-55fd-4464-b97b-98cb80ebf600.gastro.prod.fhir.ema-api.com/fhir/r4/
  • Direct secure messaging: mlewis230607@hpmg.direct-ci.net

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719014400000",
    "number": "1306047139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 WILSHIRE BLVD RM 1256",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900731003",
            "telephone_number": "310-478-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 WILSHIRE BLVD RM 1256",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900731003",
            "telephone_number": "310-478-3711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19845 Lake Chabot Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Castro Valley",
            "state": "CA",
            "postal_code": "945464055",
            "country_code": "US",
            "telephone_number": "510-537-4415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2024-06-22",
        "certification_date": "2024-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "237025",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A102134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.