Active NPI
Steven Donnelly Lewis, MD
- Diagnostic Radiology Physician
- Travis AFB, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 155034
- Practice address
- 101 Bodin Cir
Travis AFB, CA 94535-1809 - Phone
- (707) 423-7213
- NPI assigned
- Jun 13, 2013
- Last updated
- Apr 12, 2024
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD-52752 | IA | |
| Diagnostic Radiology Physician | 2085R0202X | 155034 | CA | Primary |
Addresses
Primary practice location
101 Bodin Cir
Travis AFB, CA 94535-1809
Mailing address
101 Bodin Cir
Travis AFB, CA 94535-1809
Phone (707) 423-7213
Other practice location 1
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 467-2868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376981183 | Medicaid | WA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 155034 | CA | MD | Diagnostic Radiology Physician |
| MD-52752 | IA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Medical Center | Current | Accepting new patients | |
| Silver Creek Radiology Professional Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Carilion Rockbridge Community Hospital | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Inview Imaging Diagnostics Inc a Professional Medical Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Carilion Tazewell Community Hospital | Current | Accepting new patients | |
| Halo Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| Lucidsolutions, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Palms Imaging Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| Progressive Physician Assoc Inc | Diagnostic Radiology | Current | Accepting new patients |
| Desert Medical Imaging, a Medical Corporation | Past | Accepting new patients |
Locations
3450 Hillcrest Ave
Antioch, CA 94531
Phone (925) 757-2100
18400 US Highway 18
Ste A
Apple Valley, CA 92307
Phone (951) 302-1576
1720 Esplanade
Chico, CA 95926
Phone (530) 898-0500
1720 Esplanade
Ste 101
Chico, CA 95926
645 S Minnewawa Ave
Fresno, CA 93727
Phone (559) 691-6560
74785 US Highway 111
Ste 101
Indian Wells, CA 92210
Phone (760) 346-4329
81800 Doctor Carreon Blvd
Ste C
Indio, CA 92201
Phone (760) 863-4085
1401 Avocado Ave
Ste 608
Newport Beach, CA 92660
Phone (949) 640-2081
1133 N Palm Canyon Dr
Ste B
Palm Springs, CA 92262
Phone (760) 322-8883
100 E Campus View Blvd
Ste 100
Columbus, OH 43235
Phone (614) 340-7747
Organizations & group practices 14
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.
-
dba Desert Medical Imaging
- Diagnostic Radiology Physician
- Indian Wells, CA
- NPI 1467506451
-
- Radiology Clinic/Center
- Antioch, CA
- NPI 1285603837
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Oxnard, CA
- NPI 1851347272
-
dba Silver Creek Radiology
- Diagnostic Radiology Physician
- San Jose, CA
- NPI 1154790772
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1093718496
CA
-
- Critical Access Hospital
- Pearisburg, VA
- NPI 1194718304
-
- Durable Medical Equipment & Medical Supplies
- Galax, VA
- NPI 1639980493
-
dba Carilion Clinic - DME - Westlake
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1730123472
-
- Multi-Specialty Clinic/Center
- Lexington, VA
- NPI 1174636021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712880000000",
"number": "1376981183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 BODIN CIR",
"city": "TRAVIS AFB",
"state": "CA",
"postal_code": "945351809",
"telephone_number": "707-423-7213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BODIN CIR",
"city": "TRAVIS AFB",
"state": "CA",
"postal_code": "945351809",
"telephone_number": "707-423-7213"
}
],
"practiceLocations": [
{
"address_1": "200 Hawkins Dr",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522421009",
"country_code": "US",
"telephone_number": "319-467-2868",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "STEVEN",
"middle_name": "DONNELLY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-13",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IA",
"license": "MD-52752",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "155034",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376981183",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Travis AFB, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.