Active NPI
Marc E Lewis, M.D.
- Family Medicine Physician
- Hillsboro, OR
National Provider Identifier
1417022112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD22538
- Practice address
- 356 SE 9TH Ave
Hillsboro, OR 97123-4202 - Phone
- (503) 681-4366
- Fax
- (503) 681-4374
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD22538 | OR | Primary |
Addresses
Primary practice location
356 SE 9TH Ave
Hillsboro, OR 97123-4202
Mailing address
356 SE 9TH Ave
Hillsboro, OR 97123-4202
Phone (503) 681-4366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 228416 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050804000330 | OR | Practitioner - Family Practice | 3971597915 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Utah School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Marc E. Lewis MD LLC
Practice addresses (Care Compare)
356 SE 9TH Ave
Hillsboro, OR 97123-4202
Phone (503) 681-4366
Hospital & facility affiliations
- Mission Home Health of Portland
- Amedisys Home Health Care
- Hillsboro Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 11 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- marc.lewis.1@28320.direct.athenahealth.com
Organizations & group practices 1
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 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Portland, OR
- NPI 1134311988
-
- Home Health Agency
- Portland, OR
- NPI 1346580610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314144000000",
"number": "1417022112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "356 SE 9TH AVE",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234202",
"telephone_number": "503-681-4366",
"fax_number": "503-681-4374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "356 SE 9TH AVE",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234202",
"telephone_number": "503-681-4366",
"fax_number": "503-681-4374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "MARC",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2011-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD22538",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "228416",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.