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Individual provider Active NPI

Ronald Moore Lewis Jr., MD

  • Internal Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1326014523
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12248 Issued in LA
Practice address
2770 3Rd Ave Ste 350
Lake Charles, LA 70601-0404
Phone
(337) 494-6800
Fax
(337) 494-6811
NPI assigned
Feb 27, 2006
Last updated
Feb 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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 12248 LA Primary

Addresses

Primary practice location

2770 3Rd Ave Ste 350
Lake Charles, LA 70601-0404

Mailing address

PO Box 122205
Dept 2205
Dallas, TX 75312-2205
Phone (337) 494-6897

Other identifiers 2

IdentifierTypeStateIssuer
1695742MedicaidLA
MD.12248ROtherLASTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20100106000174 LA Practitioner - Internal Medicine 5092728444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Mississippi School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swlhs LLCGroup PAC ID 6406938612, 17 clinicians

Practice addresses (Care Compare)

1701 Oak Park Blvd
Lake Charles, LA 70601-8911

1717 Oak Park Blvd
FL 1
Lake Charles, LA 70601-8977
Phone (337) 494-6800

2770 3Rd Ave
Suite 320
Lake Charles, LA 70601-8994
Phone (337) 494-6800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12248LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Swlhs LLC Internal Medicine CurrentSince May 1, 2012 Accepting new patients
Christus Health Southwestern Louisiana Past Accepting new patients
Southwest Louisiana Hospital Association Inc Past Accepting new patients

Locations

1902 Johnson St
Jennings, LA 70546
Phone (337) 788-2864

1717 Oak Park Blvd
Fl 1
Lake Charles, LA 70601
Phone (337) 478-3810

2770 3rd Ave
Ste 300
Lake Charles, LA 70601
Phone (337) 477-6061

2770 3rd Ave
Ste 320
Lake Charles, LA 70601
Phone (337) 494-6800

2770 3rd Ave
Ste 350
Lake Charles, LA 70601
Phone (337) 494-2750

4345 Nelson Rd
Ste 201
Lake Charles, LA 70605
Phone (337) 494-6800

Interoperability endpoints

  • Direct secure messaging: rlewis5281937@direct.casso.us.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lake Charles Memorial HospitalLake Charles, LA, CCN 19T060 Hospital Corporate Officer Jan 1, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1326014523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122205",
            "address_2": "DEPT 2205",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753122205",
            "telephone_number": "337-494-6897",
            "fax_number": "337-494-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 3RD AVE STE 350",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706010404",
            "telephone_number": "337-494-6800",
            "fax_number": "337-494-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "RONALD",
        "middle_name": "MOORE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "12248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1695742",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "MD.12248R",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.