Active NPI
Michael S Lewis, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- A102134
- 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, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 84.95
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A102134 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
| 237025 | NY | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Health Associates of Southern California | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Mymichigan Medical Center Saginaw | Current | Accepting new patients | |
| Mymichigan Medical Center Saginaw | Current | Accepting new patients | |
| Gastroenterology Specialists Medical Group, Inc a Medical Corporation | Current | Accepting new patients | |
| Digestive Health Associates of Southern California | Current | Accepting new patients | |
| Digestive Health Consultants, PLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Western Carolina Digestive Consultants PA | Current | Accepting new patients | |
| Mymichigan Medical Center Saginaw | Anatomic Pathology & Clinical Pathology | Current | 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
- https://35e809af-55fd-4464-b97b-98cb80ebf600.gastro.prod.fhir.ema-api.com/fhir/r4/
- 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.
-
- Certified Registered Nurse Anesthetist
- Santa Monica, CA
- NPI 1639604747
-
- Gastroenterology Physician
- Castro Valley, CA
- NPI 1629170998
-
dba Digestive Health Associates, PLC
- Gastroenterology Physician
- Farmington Hills, MI
- NPI 1710924170
Anatomic Pathology & Clinical Pathology
-
- Gastroenterology Physician
- Sylva, NC
- NPI 1790870830
-
dba Ascension Medical Group Primary Care Towne Centre
- Internal Medicine Physician
- Saginaw, MI
- NPI 1326658154
-
- Anatomic Pathology & Clinical Pathology Physician
- Santa Monica, CA
- NPI 1043098619
-
dba Ascension Medical Group Riverfront Cardiology
- Cardiovascular Disease Physician
- Saginaw, MI
- NPI 1467736132
-
dba Ascension Medical Group Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Saginaw, MI
- NPI 1902123250
-
- Certified Registered Nurse Anesthetist
- Murrieta, CA
- NPI 1811794902
-
dba Ophthalmology Department of Mount Sinai
- Ophthalmology Physician
- New York, NY
- NPI 1437421252
-
dba Mount Sinai Pathology Consultants
- Anatomic Pathology & Clinical Pathology Physician
- New York, NY
- NPI 1629093869
-
- Ambulatory Surgical Clinic/Center
- Franklin, NC
- NPI 1225225592
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.