Active NPI
Richard J Lewis, M.D.
- Clinical Cardiac Electrophysiology Physician
- Mesa, AZ
National Provider Identifier
1376516955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 35079
- Practice address
- 4838 E Baseline Rd
BLDG. 2 Ste. 110
Mesa, AZ 85206-4671 - Phone
- (480) 892-2800
- Fax
- (480) 892-3258
- NPI assigned
- Feb 13, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 35079 | AZ | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 35079 | AZ | Primary |
Addresses
Primary practice location
4838 E Baseline Rd
BLDG. 2 Ste. 110
Mesa, AZ 85206-4671
Mailing address
PO Box 63423
Phoenix, AZ 85082-3423
Phone (480) 892-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035451 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35079 | AZ | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Colorado Cardiology, PC | Cardiovascular Disease | Past | Accepting new patients |
| Advanced Cardiac Specialists, Chartered | Past | Accepting new patients |
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.
-
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
- NPI 1912174590
-
- Cardiovascular Disease Physician
- Greeley, CO
- NPI 1346273430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245628800000",
"number": "1376516955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 63423",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850823423",
"telephone_number": "480-892-2800",
"fax_number": "480-982-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4838 E BASELINE RD",
"address_2": "BLDG. 2 STE. 110",
"city": "MESA",
"state": "AZ",
"postal_code": "852064671",
"telephone_number": "480-892-2800",
"fax_number": "480-892-3258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "RICHARD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2009-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AZ",
"license": "35079",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "AZ",
"license": "35079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "035451",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.