Individual provider Active NPI

John M. Lewin, M.D.

  • Diagnostic Radiology Physician
  • New Haven, CT
National Provider Identifier
1336151026
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
69924 Issued in CT
Practice address
35 Park St
New Haven, CT 06519-1110
Phone
(203) 688-1010
NPI assigned
Aug 12, 2006
Last updated
Sep 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 34514 CO
Diagnostic Radiology Physician 2085R0202X 69924 CT Primary

Addresses

Primary practice location

35 Park St
New Haven, CT 06519-1110

Mailing address

6962 E Mexico Ave
Denver, CO 80224-2242
Phone (720) 333-1479

Other practice location 1

3773 E Cherry Creek North Dr Ste 101
Denver, CO 80209-3821
Phone (303) 321-2273

Other identifiers 1

IdentifierTypeStateIssuer
01345149MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, CT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040723000679 CO Practitioner - Diagnostic Radiology 9234119850 Reassigns benefits to 1 organization
I20220129000027 CT Practitioner - Diagnostic Radiology 9234119850 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale UniversityGroup PAC ID 9436061736, shared by 12 NPIs, 2,632 clinicians

Practice addresses (Care Compare)

20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242

55 Lock St
New Haven, CT 06511-3603
Phone (203) 432-0076

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34514COMDDiagnostic Radiology Physician
69924CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Imaging Center CurrentSince Nov 19, 2021 Accepting new patients
Yale University CurrentSince Jan 3, 2022 Accepting new patients
Yale University CurrentSince Jan 3, 2022 Accepting new patients
Yale University Diagnostic Radiology Current Accepting new patients
Yale University CurrentSince Jan 3, 2022 Accepting new patients
Flatirons Radiology, LLC Diagnostic Radiology Past Accepting new patients
University Physicians Incorporated Past Accepting new patients

Locations

3773 E Cherry Creek North Dr
Ste 101
Denver, CO 80209
Phone (303) 321-2273

1265 Sgt Jon Stiles Dr
Unit H
Highlands Ranch, CO 80129
Phone 3033212273260

35 Park St
New Haven, CT 06519
Phone (203) 200-2100

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

55 Lock St
New Haven, CT 06511
Phone (203) 432-0076

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

20 York St
North Haven, CT 06510
Phone (203) 688-2433

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23872/brand/5/csg/61/fhir/r4

Organizations & group practices 7

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 4

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1336151026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6962 E MEXICO AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802242242",
            "telephone_number": "720-333-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 PARK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191110",
            "telephone_number": "203-688-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3773 E Cherry Creek North Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802093821",
            "country_code": "US",
            "telephone_number": "303-321-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIN",
        "first_name": "JOHN",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "34514",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "69924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01345149",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.