Individual provider Active NPI

Anthony B Lewis, M.D.

  • Cardiovascular Disease Physician
  • Port Saint Lucie, FL
National Provider Identifier
1396776522
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME82977 Issued in FL
Practice address
537 NW Lake Whitney PL
Unit 103-106
Port Saint Lucie, FL 34986-1620
Phone
(772) 877-8578
Fax
(772) 398-6246
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME82977 FL Primary

Addresses

Primary practice location

537 NW Lake Whitney PL
Unit 103-106
Port Saint Lucie, FL 34986-1620

Mailing address

1391 NW Saint Lucie West Blvd # 216
Port Saint Lucie, FL 34986-2196
Phone (772) 877-8578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040311000968 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8820986714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Meharry Medical College School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1100 SW St Lucie W Blvd
Suite 206
Port St Lucie, FL 34986-1620
Phone 7728778578203

537 NW Lake Whitney PL
Suite 103 106
Port St Lucie, FL 34986-1620

Hospital & facility affiliations

  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME82977FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orion Cardiovascular, III PastSince Oct 1, 2003 Accepting new patients
Heart Center of the Treasure Coast Cardiovascular Disease Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: anthonylewis@tlcmedicalgroup.kareodirect.com

Organizations & group practices 3

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 1

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1396776522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 NW SAINT LUCIE WEST BLVD # 216",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862196",
            "telephone_number": "772-877-8578",
            "fax_number": "772-877-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 NW LAKE WHITNEY PL",
            "address_2": "UNIT 103-106",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349861620",
            "telephone_number": "772-877-8578",
            "fax_number": "772-398-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ANTHONY",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME82977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.