Individual provider Active NPI

Sara Elizabeth Lewis, DPM

  • Foot & Ankle Surgery Podiatrist
  • Melbourne, FL
National Provider Identifier
1457883126
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4072 Issued in FL
Practice address
205 E Nasa Blvd FL 1
Melbourne, FL 32901-1950
Phone
(321) 361-5548
Fax
(321) 728-8649
NPI assigned
Mar 31, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X PO4072 FL Primary

Addresses

Primary practice location

205 E Nasa Blvd FL 1
Melbourne, FL 32901-1950

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 361-5548

Other identifiers 2

IdentifierTypeStateIssuer
102944800MedicaidFL
LC302OtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181030000764 GA Practitioner - Podiatry 6204189830 Reassigns benefits to 1 organization
I20190507000425 FL Practitioner - Podiatry 6204189830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

205 E Nasa Blvd
Melbourne, FL 32901-1937
Phone (321) 725-4500

Hospital & facility affiliations

  • Health First Home Care Home health agency, Melbourne, FL, CCN 107233
  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315
  • Palm Bay Hospital Hospital, Palm Bay, FL, CCN 100316
  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4072FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC Multi-Specialty CurrentSince Jun 20, 2019 Accepting new patients
The Southeast Permanente Medical Group Multi-Specialty CurrentSince Jul 16, 2018 Accepting new patients
Health First Medical Group, LLC Multi-Specialty CurrentSince Jun 20, 2019 Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

1220 N Highway A1A
Ste 147
Indialantic, FL 32903
Phone (321) 951-9087

205 E Nasa Blvd
Melbourne, FL 32901
Phone (321) 361-5626

205 E Nasa Blvd
Fl 1
Melbourne, FL 32901
Phone (321) 361-5626

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

20 Glenlake Pkwy
Sandy Springs, GA 30328
Phone (770) 677-6247

Interoperability endpoints

  • Direct secure messaging: slewis28300@epicdirect.hf.org

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 6

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": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1457883126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "321-361-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E NASA BLVD FL 1",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011950",
            "telephone_number": "321-361-5548",
            "fax_number": "321-728-8649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102944800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "LC302",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.