Active NPI
David Michael Lewis, DO
- Otolaryngology Physician
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- O-1931
- Practice address
- 900 N Liberty St Ste 400
Boise, ID 83704-8707 - Phone
- (208) 367-3320
- NPI assigned
- Feb 13, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | O-1931 | ID | Primary |
Addresses
Primary practice location
900 N Liberty St Ste 400
Boise, ID 83704-8707
Mailing address
6191 S Bosch Way
Meridian, ID 83642-7841
Phone (661) 578-8087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
900 N Liberty St
Suite 400
Boise, ID 83704-8707
Phone (208) 336-4368
Hospital & facility affiliations
- St Luke'S Regional Medical Center
- Saint Alphonsus Regional Medical Center
- St Luke'S Nampa Medical Center
- St Luke'S McCall
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O-1931 | ID | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Idaho Ear, Nose and Throat | Otolaryngology | Current | Accepting new patients |
Locations
900 N Liberty St
Ste 400
Boise, ID 83704
Phone (208) 336-4368
900 N Liberty St
Boise, ID 83704
Phone (208) 367-2229
Interoperability endpoints
- david.lewis@swient.eclinicaldirectplus.com
- dlewis265966@ahs.direct-ci.com
- https://fhir4.healow.com/fhir/r4/DEAGCD
Organizations & group practices 1
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.
-
- Otolaryngology Physician
- Boise, ID
- NPI 1306823125
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boise, ID
- NPI 1184155426
-
- General Acute Care Hospital
- Boise, ID
- NPI 1457414948
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Hospital
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
-
- Critical Access Hospital
- McCall, ID
- NPI 1235447970
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
- General Acute Care Hospital
- Nampa, ID
- NPI 1831590660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742083200000",
"number": "1346706520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6191 S BOSCH WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836427841",
"telephone_number": "661-578-8087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N LIBERTY ST STE 400",
"city": "BOISE",
"state": "ID",
"postal_code": "837048707",
"telephone_number": "208-367-3320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-13",
"last_updated": "2025-03-16",
"certification_date": "2025-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "ID",
"license": "O-1931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2025; 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.