Active NPI
Sandra Jean Lewis, M.D.
- Cardiovascular Disease Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD14284
- Practice address
- 2222 NW Lovejoy St
Suite 606
Portland, OR 97210-3033 - Phone
- (503) 229-7554
- Fax
- (503) 274-5400
- NPI assigned
- Aug 18, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD14284 | OR | Primary |
Addresses
Primary practice location
2222 NW Lovejoy St
Suite 606
Portland, OR 97210-3033
Mailing address
847 NE 19TH Ave Ste 300
Portland, OR 97232-2686
Phone (503) 963-2801
Other practice location 1
500 N Columbia River Hwy
Saint Helens, OR 97051-1299
Phone (503) 229-7554
Other practice location 2
19260 SW 65th Ave Ste 420
Tualatin, OR 97062-5712
Phone (503) 692-0405
Other practice location 3
24900 SE Stark St Ste 103
Gresham, OR 97030-3381
Phone (503) 907-1101
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128835 | Medicaid | OR | |
| 1010066 | Medicaid | WA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Stanford University School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1040 NW 22ND Ave
Suite 660
Portland, OR 97210-3083
Phone (503) 413-7162
1200 NW 23Rd Ave
Portland, OR 97210-2906
Phone (503) 413-7074
Hospital & facility affiliations
- Legacy Good Samaritan Medical Center
- Legacy Emanuel Medical Center
- Legacy Meridian Park Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.62 of 100
- Quality
- 77.21
- Promoting interoperability
- 99.06
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Past | Accepting new patients | |
| The Oregon Clinic PC | Cardiovascular Disease | Past | Accepting new patients |
Locations
24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407
1130 NW 22nd Ave
Ste 400
Portland, OR 97210
Phone (503) 413-6555
1040 NW 22nd Ave
Ste 660
Portland, OR 97210
Phone (503) 692-0405
1040 NW 22nd Ave
Ste 630
Portland, OR 97210
Phone (503) 796-2743
1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
2222 NW Lovejoy St
Ste 606
Portland, OR 97210
Phone (503) 229-7554
1040 NW 22nd Ave
Ste 168
Portland, OR 97210
Phone (503) 413-7022
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
500 N Highway
Saint Helens, OR 97051
Phone (503) 229-7554
19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
Interoperability endpoints
- slewis9799@direct.lhs.org
Organizations & group practices 9
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.
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
-
dba Legacy Medical Group Firwood
- Rural Health Clinic/Center
- Sandy, OR
- NPI 1730472192
-
dba Apothecary at Emanuel Hospital
- Community/Retail Pharmacy
- Portland, OR
- NPI 1417977976
-
- Community/Retail Pharmacy
- Portland, OR
- NPI 1609896174
-
dba Legacy Good Samaritan Providers
- Clinic/Center
- Portland, OR
- NPI 1679597108
-
- Psychiatric Hospital Unit
- Portland, OR
- NPI 1336162874
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Unity Center for Behavioral Health-PES
- General Acute Care Hospital
- Portland, OR
- NPI 1003367491
-
dba Legacy Laboratory Services
- Clinical Medical Laboratory
- Portland, OR
- NPI 1295756898
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
-
dba Legacy Good Samaritan Providers
- Clinic/Center
- Portland, OR
- NPI 1679597108
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1427040179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "847 NE 19TH AVE STE 300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322686",
"telephone_number": "503-963-2801",
"fax_number": "503-963-2825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 NW LOVEJOY ST",
"address_2": "SUITE 606",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103033",
"telephone_number": "503-229-7554",
"fax_number": "503-274-5400"
}
],
"practiceLocations": [
{
"address_1": "500 N Columbia River Hwy",
"address_purpose": "LOCATION",
"city": "Saint Helens",
"state": "OR",
"postal_code": "970511299",
"country_code": "US",
"telephone_number": "503-229-7554",
"fax_number": "503-248-4666",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19260 SW 65th Ave Ste 420",
"address_purpose": "LOCATION",
"city": "Tualatin",
"state": "OR",
"postal_code": "970625712",
"country_code": "US",
"telephone_number": "503-692-0405",
"fax_number": "503-692-7978",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "24900 SE Stark St Ste 103",
"address_purpose": "LOCATION",
"city": "Gresham",
"state": "OR",
"postal_code": "970303381",
"country_code": "US",
"telephone_number": "503-907-1101",
"fax_number": "503-907-0177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "SANDRA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OR",
"license": "MD14284",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128835",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1010066",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.