Individual provider Active NPI

Steven Donnelly Lewis, MD

  • Diagnostic Radiology Physician
  • Travis AFB, CA
National Provider Identifier
1376981183
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
155034 Issued in CA
Practice address
101 Bodin Cir
Travis AFB, CA 94535-1809
Phone
(707) 423-7213
NPI assigned
Jun 13, 2013
Last updated
Apr 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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 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

IdentifierTypeStateIssuer
1376981183MedicaidWA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230718003659 CA Practitioner - Diagnostic Radiology 2567726755 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
155034CAMDDiagnostic Radiology Physician
MD-52752IAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Mar 10, 2024 Accepting new patients
Silver Creek Radiology Professional Corporation Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Feb 16, 2024 Accepting new patients
Carilion Giles Community Hospital CurrentSince Feb 15, 2024 Accepting new patients
Inview Imaging Diagnostics Inc a Professional Medical Corporation Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Carilion Tazewell Community Hospital CurrentSince Feb 19, 2024 Accepting new patients
Halo Medical Group Diagnostic Radiology CurrentSince Oct 14, 2023 Accepting new patients
Lucidsolutions, Inc. Diagnostic Radiology CurrentSince Dec 15, 2024 Accepting new patients
Carilion Giles Community Hospital CurrentSince Feb 15, 2024 Accepting new patients
Carilion Medical Center CurrentSince Mar 10, 2024 Accepting new patients
Palms Imaging Medical Group Diagnostic Radiology CurrentSince Aug 11, 2024 Accepting new patients
Progressive Physician Assoc Inc Diagnostic Radiology CurrentSince Apr 1, 2024 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.

View all 14

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

Verify at the official NPI Registry.