Individual provider Active NPI

Kay R Lewis, M.D.

  • Child & Adolescent Psychiatry Physician
  • Houston, TX
National Provider Identifier
1447278668
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
D5775 Issued in TX
Practice address
15 Greenway PLZ Unit 20J
Houston, TX 77046-1506
Phone
(281) 543-9458
NPI assigned
Jul 17, 2006
Last updated
Jul 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X D5775 TX Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

15 Greenway PLZ Unit 20J
Houston, TX 77046-1506

Mailing address

15 Greenway PLZ Unit 20J
Houston, TX 77046-1506
Phone (281) 543-9458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040729000063 TX Practitioner - Psychiatry 2961472758 Reassigns benefits to 1 organization
Practice locations: Houston, TX; Pearland, TX

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Duke University School of Medicine, 1964
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rodom Medical Consulting PAGroup PAC ID 9638176233, 7 clinicians

Practice addresses (Care Compare)

20250 FM
Suite 619
Elgin, TX 78621-5343
Phone (512) 619-7239

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rodom Medical Consulting PA CurrentSince Jun 15, 2019 Accepting new patients
Ut Physicians Past Accepting new patients
Educare Community Living Corporation - Gulf Coast Past Accepting new patients
Behavioral & Developmental Health Services PA Professional Past Accepting new patients
The Center for Pursuit Professional PastSince Mar 1, 2021 Accepting new patients

Locations

3101 S Austin Ave
Georgetown, TX 78626
Phone (512) 819-1100

1120 Cypress Station Dr
Houston, TX 77090
Phone (281) 893-7200

2801 Gessner Rd
Houston, TX 77080
Phone (713) 275-5000

7918 Broadway St
Ste 104
Pearland, TX 77581
Phone (281) 543-9458

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1447278668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GREENWAY PLZ UNIT 20J",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770461506",
            "telephone_number": "281-543-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GREENWAY PLZ UNIT 20J",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770461506",
            "telephone_number": "281-543-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KAY",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "D5775",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.