Individual provider Active NPI

John C Lewis, PA

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1457317281
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
778 Issued in NE
Practice address
7100 W Center Rd
Omaha, NE 68106-2700
Phone
(402) 506-9124
Fax
(402) 261-0240
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 778 NE Primary

Addresses

Primary practice location

7100 W Center Rd
Omaha, NE 68106-2700

Mailing address

7100 W Center Rd
Omaha, NE 68106-2700
Phone (402) 506-9124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100527000104 NE Practitioner - Physician Assistant 5496763716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Think Aksarben LLCGroup PAC ID 9638394505, 77 clinicians

Practice addresses (Care Compare)

7100 W Ctr Rd
Omaha, NE 68106-2714
Phone (402) 506-9000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001695IAMDMental Health Counselor
778NEMDClinical Psychologist
187MTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
William W. Smith, M.D., P.C. Past Accepting new patients
Jack K Lewis MD PC Physician Assistant Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: johnlewis@thinkaks.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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1457317281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062700",
            "telephone_number": "402-506-9124",
            "fax_number": "402-261-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062700",
            "telephone_number": "402-506-9124",
            "fax_number": "402-261-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.