Individual provider Active NPI

Shari Lewis, M.D.

  • Nephrology Physician
  • Baltimore, MD
National Provider Identifier
1447459375
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D0074918 Issued in MD
Practice address
7106 Ridge Rd
Suite 155
Baltimore, MD 21237-3875
Phone
(443) 559-8705
Fax
(443) 815-3748
NPI assigned
Jul 11, 2007
Last updated
Oct 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X D0074918 MD Primary

Addresses

Primary practice location

7106 Ridge Rd
Suite 155
Baltimore, MD 21237-3875

Mailing address

1589 Sulphur Spring Rd
Suite 109
Baltimore, MD 21227-2542
Phone (410) 536-5400

Other identifiers 2

IdentifierTypeStateIssuer
066548700MedicaidMD
289787Y56OtherMDMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20130709000679 MD Practitioner - NephrologyPractitioner - Internal Medicine 6406096759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Atlantic Nephrology Associates PAGroup PAC ID 2769469006, 60 clinicians

Practice addresses (Care Compare)

7106 Ridge Rd
Suite 155
Baltimore, MD 21237-3878
Phone (443) 559-8705

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Medical First P.a. Nephrology CurrentSince May 15, 2013 Accepting new patients
Mid-Atlantic Nephrology Associates PA Nephrology CurrentSince Aug 1, 2016 Accepting new patients
Mid-Atlantic Nephrology Associates PA Nephrology CurrentSince May 19, 2024 Accepting new patients

Locations

1589 Sulphur Spring Rd
Ste 109
Halethorpe, MD 21227
Phone (410) 536-5400

8813 Waltham Woods Rd
Ste 204
Parkville, MD 21234
Phone (410) 661-4670

8901 Clement Ave
Parkville, MD 21234
Phone (410) 661-4670

7106 Ridge Rd
Ste 155
Rosedale, MD 21237
Phone (443) 559-8705

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAFGCA
  • Direct secure messaging: sharilewis@mana.allscriptsdirect.net

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

Hospital & facility affiliations 5

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": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1447459375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 SULPHUR SPRING RD",
            "address_2": "SUITE 109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212272542",
            "telephone_number": "410-536-5400",
            "fax_number": "410-737-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7106 RIDGE RD",
            "address_2": "SUITE 155",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373875",
            "telephone_number": "443-559-8705",
            "fax_number": "443-815-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SHARI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0074918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066548700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "289787Y56",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.