Individual provider Active NPI

Debra Rene Lewis, MD

  • Emergency Medicine Physician
  • Butte, MT
National Provider Identifier
1457388324
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
9834 Issued in MT
Practice address
400 S Clark St
Butte, MT 59701-2328
Phone
(406) 723-2500
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 9834 MT Primary

Addresses

Primary practice location

400 S Clark St
Butte, MT 59701-2328

Mailing address

505 S 336TH St
Suite 600
Federal Way, WA 98003-6328
Phone (253) 838-6180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20040315001610 MT Practitioner - Emergency MedicinePractitioner - Internal Medicine 9436049434 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9834MTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group-Butte LLC CurrentSince Feb 9, 2011 Accepting new patients
St. James Healthcare CurrentSince Jun 1, 2003 Accepting new patients
Butte Pathology LLC Current Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince Feb 9, 2011 Accepting new patients
St James Healthcare CurrentSince Jun 1, 2003 Accepting new patients
Mercy Hospital South Emergency Medicine Past Accepting new patients
Northwest Physician Associates, Apc Emergency Medicine Past Accepting new patients

Locations

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1457388324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S 336TH ST",
            "address_2": "SUITE 600",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036328",
            "telephone_number": "253-838-6180",
            "fax_number": "253-838-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S CLARK ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012328",
            "telephone_number": "406-723-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DEBRA",
        "middle_name": "RENE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MT",
            "license": "9834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.