Richard Lewis, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36985 Issued in WI

Practice address

11649 N Port Washington Rd Ste 114
Mequon, WI 53092-3461

Phone

(262) 235-3800

Fax

(262) 236-9726

NPI assigned

Feb 9, 2006

Last updated

Apr 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: richard.lewis@274959844769796.direct.elationemr.com

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.

• Prohealth Medical Group Inc

  • Family Medicine Physician
  • Waukesha, WI
  • NPI 1790720613
  NPD (past)

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618012800000",
    "number": "1306819305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11649 N PORT WASHINGTON RD STE 114",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923461",
            "telephone_number": "262-235-3800",
            "fax_number": "262-236-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11649 N PORT WASHINGTON RD STE 114",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923461",
            "telephone_number": "262-235-3800",
            "fax_number": "262-236-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2021-04-10",
        "certification_date": "2021-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "36985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32308200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Jane Lepold
• Alexander Israel Levin
• Michael I. Levin, M.D.
• Donald Morris Levy, MD
• Jo Lewis
• Joshua David Liberman, M.D.
• Hailey Lichey
• Elizabeth Rae Licht, LPC
• Lickteig Chiropractic Clinic,S.C.
• Karl Albert Lickteig, D.C.

• Family Medicine Physician in Mequon, WI
• Providers in Mequon, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.