Organization Active NPI

Lewis & Lovett, LTD

Doing business as Desert West Surgery

  • Specialist
  • Las Vegas, NV
National Provider Identifier
1457492019
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4582 Issued in NV
Legal business name
LEWIS & LOVETT, LTD
Doing business as
Desert West Surgery
Practice address
1111 Shadow LN
Las Vegas, NV 89102-2314
Phone
(702) 383-4040
Fax
(702) 383-0526
NPI assigned
Feb 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Terry R Lewis, M.D.NPI 1841282308
Title
President
Phone
(702) 383-4040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4582 NV Primary

Addresses

Primary practice location

1111 Shadow LN
Las Vegas, NV 89102-2314

Mailing address

1111 Shadow LN
Las Vegas, NV 89102-2314
Phone (702) 383-4040

Other identifiers 1

IdentifierTypeStateIssuer
CT1231OtherNVRAILROAD GROUP NUMBER

Other names 1

  • Desert West Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040526000435 NV Part B Supplier - Clinic/Group Practice 4082695069 Receives reassigned benefits from 6 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

7200 Cathedral Rock Dr
Ste 250
Las Vegas, NV 89128
Phone (702) 383-4040

9260 W Sunset Rd
Ste 206
Las Vegas, NV 89148
Phone (702) 241-5568

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457492019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SHADOW LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022314",
            "telephone_number": "702-383-4040",
            "fax_number": "702-383-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SHADOW LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022314",
            "telephone_number": "702-383-4040",
            "fax_number": "702-383-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS & LOVETT, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-383-4040",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "4582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP NUMBER",
            "identifier": "CT1231",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert West Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.