Derek Lewis, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C6631 Issued in AR

Practice address

6209 W 12TH St
Little Rock, AR 72204-1505

Phone

(501) 663-5221

Fax

(501) 663-6759

NPI assigned

Apr 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Family Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

North Little Rock Primary Care and Diagnostic Clinic PLLCGroup PAC ID 0749462786, 2 clinicians

Arkansas Primary Care Clinics PAGroup PAC ID 4981599974, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Home Health-LR Home health agency, Little Rock, AR, CCN 047090
• Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114
• CHI-St Vincent Infirmary Hospital, Little Rock, AR, CCN 040007
• Baptist Health Extended Care Hospital-LR Inc Long-term care hospital, Little Rock, AR, CCN 042012

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HHFBBD/Endpoint/HHFBBD
• FHIR API: https://fhir4.healow.com/fhir/r4/HFFBBD/Endpoint/HFFBBD

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.

• Arkansas Primary Care Clinics PA

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1750345427

  AR, Family Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• North Little Rock Primary Care and Diagnostic Clinic PLLC

  • Family Medicine Physician
  • N Little Rock, AR
  • NPI 1306877576

  AR, Family Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Health Management of Arkansas

  • Chiropractor
  • North Little Rock, AR
  • NPI 1366632887

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Health

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1043240682

  Hospital

  Care Compare affiliation
• Baptist Health

  • Home Health Agency
  • Little Rock, AR
  • NPI 1134225451
  Care Compare affiliation
• Baptist Health Extended Care Hospital - Little Rock, Inc.

  • Long Term Care Hospital
  • Little Rock, AR
  • NPI 1447439708

  Long-term care hospital

  Care Compare affiliation
• St Vincent Infirmary Medical Center

  • Psychiatric Hospital Unit
  • Little Rock, AR
  • NPI 1710442801

  Hospital

  Care Compare affiliation
• St Vincent Infirmary Medical Center

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1780684431

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1407810641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6209 W 12TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041505",
            "telephone_number": "501-663-5221",
            "fax_number": "501-663-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6209 W 12TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041505",
            "telephone_number": "501-663-5221",
            "fax_number": "501-663-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C6631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110711001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antoine Lewis, MHPP
• Ashley Lewis
• Briana Lewis
• Brittany Lewis, APRN
• Charles Lewis, M.D.
• Donna Diane Lewis, PT, DPT
• Ethan Taylor Lewis, DNP
• Georgia Sue Lewis
• Hannah Elisabeth Smashey Lewis, MD
• Hayden Lewis

• All providers in Little Rock, AR
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.