Individual provider Active NPI

David Arthur Lewis, M.D.

  • Internal Medicine Physician
  • Mountain View, CA
National Provider Identifier
1316017858
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G29804 Issued in CA
Practice address
2204 Grant Rd
Suite 103
Mountain View, CA 94040-3855
Phone
(650) 967-8890
Fax
(650) 967-8891
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G29804 CA Primary

Addresses

Primary practice location

2204 Grant Rd
Suite 103
Mountain View, CA 94040-3855

Mailing address

2204 Grant Rd
Suite 103
Mountain View, CA 94040-3855
Phone (650) 967-8890

Other identifiers 1

IdentifierTypeStateIssuer
00G298040MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20080201000310 CA Practitioner - Internal Medicine 6204918006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Southern California Keck School of Medicine, 1974
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2204 Grant Rd
Suite 105
Mountain View, CA 94040-3877
Phone (650) 967-8890

Hospital & facility affiliations

  • Pathways Home Health and Hospice Home health agency, Sunnyvale, CA, CCN 057190
  • Sutter Care at Home Home health agency, Saratoga, CA, CCN 757662
  • Strive Home Health, LLC Home health agency, Livermore, CA, CCN 757050
  • El Camino Health Hospital, Mountain View, CA, CCN 050308

Merit-based Incentive Payment System (MIPS)

Final score
25.84 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
86.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G29804CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David a. Lewis, M.D., Inc. Internal Medicine CurrentSince Jun 1, 1993 Accepting new patients

Locations

2204 Grant Rd
Ste 105
Mountain View, CA 94040
Phone (650) 967-8890

2204 Grant Rd
Ste 103
Mountain View, CA 94040
Phone (650) 967-8841

Interoperability endpoints

  • Direct secure messaging: dlewis7391@icare.elcaminohospital.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316017858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 GRANT RD",
            "address_2": "SUITE 103",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403855",
            "telephone_number": "650-967-8890",
            "fax_number": "650-967-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 GRANT RD",
            "address_2": "SUITE 103",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403855",
            "telephone_number": "650-967-8890",
            "fax_number": "650-967-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DAVID",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G29804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G298040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.