Individual provider Active NPI

Roy Sheldon Lewis, MD

  • Otolaryngology Physician
  • Mooresville, NC
National Provider Identifier
1396728804
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2011-01689 Issued in NC
Practice address
144 Fountain PL
Mooresville, NC 28117-0162
Phone
(704) 658-0595
Fax
(704) 658-0916
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 2011-01689 NC Primary

Addresses

Primary practice location

144 Fountain PL
Mooresville, NC 28117-0162

Mailing address

6035 Fairview Rd
Charlotte, NC 28210-3256
Phone (704) 295-3000

Other identifiers 6

IdentifierTypeStateIssuer
P01650118OtherNCMEDICARE-RAILROAD
1699COtherNCBCBSNC
1216263OtherSCWELLCARE OF SC
6239215OtherCIGNA
117783401MedicaidTX
Q0168AMedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rlewis5657@direct.ceenta.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20120614000447 NC Practitioner - Otolaryngology 5496789042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of North Carolina at Chapel Hill School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charlotte Eye Ear Nose and Throat Associates PAGroup PAC ID 0446155451, 181 clinicians

Practice addresses (Care Compare)

144 Fountain PL
Mooresville, NC 28117-0162
Phone (704) 658-0595

Hospital & facility affiliations

  • Duke Health Lake Norman Hospital Hospital, Mooresville, NC, CCN 340129
  • Novant Health Huntersville Medical Center Hospital, Huntersville, NC, CCN 340183
  • Atrium Health University City Hospital, Charlotte, NC, CCN 340166
  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Iredell Memorial Hospital Inc Hospital, Statesville, NC, CCN 340039

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2011-01689NCMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Eye Ear Nose & Throat Associates, PA CurrentSince Feb 1, 2016 Accepting new patients
Surgery Center on Bluefield LLC Current Accepting new patients
Charlotte Eye Ear Nose & Throat Associates, P.a. Otolaryngology CurrentSince Feb 1, 2016 Accepting new patients
Houston Ear Nose & Throat Clinic LLP Otolaryngology CurrentSince Sep 20, 2012 Accepting new patients
ENT and Allergy Associates of Texas PLLC Otolaryngology PastSince Jan 1, 2026 Accepting new patients

Locations

6035 Fairview Rd
Charlotte, NC 28210
Phone (336) 718-2078

645 Amalia St NE
Concord, NC 28025
Phone (704) 295-3255

10305 Hamptons Park Dr
Ste 201
Huntersville, NC 28078
Phone (704) 295-3600

149 Plantation Ridge Dr
Ste 190
Mooresville, NC 28117
Phone (704) 658-0595

7789 Southwest Fwy
Ste 470
Houston, TX 77074
Phone (281) 649-7000

22999 Highway 59 N
Ste 400
Kingwood, TX 77339
Phone (281) 358-2314

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1396728804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 FAIRVIEW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103256",
            "telephone_number": "704-295-3000",
            "fax_number": "704-295-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 FOUNTAIN PL",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281170162",
            "telephone_number": "704-658-0595",
            "fax_number": "704-658-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ROY",
        "middle_name": "SHELDON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "2011-01689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-RAILROAD",
            "identifier": "P01650118",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "1699C",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE OF SC",
            "identifier": "1216263",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6239215",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117783401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q0168A",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rlewis5657@direct.ceenta.com",
            "affiliation": "N",
            "address_1": "144 Fountain Pl",
            "city": "Mooresville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281170162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.