Chantal D Lewis, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101245466 Issued in VA

Practice address

3122 Golansky Blvd Ste 101
Woodbridge, VA 22192-4267

Phone

(571) 989-4134

Fax

(703) 774-3939

NPI assigned

Jul 9, 2008

Last updated

Apr 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Chantal D Lewis Former name

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

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 2

Specialty

Family Practice

Education

Howard University College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pro Healthcare Servicing LLC Home health agency, Fairfax, VA, CCN 497656
• Sentara Home Care Services Home health agency, Dumfries, VA, CCN 497675

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chantal.lewis.p2@direct.alegiscare.nextgenshare.com

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.

• Mednovations LLC

  • Primary Care Clinic/Center
  • Woodbridge, VA
  • NPI 1013402593

  DC

  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pro Healthcare Servicing, LLC

  • Home Health Agency
  • Fairfax, VA
  • NPI 1184879975
  Care Compare affiliation
• Pro Healthcare Servicing, LLC

  • Home Health Agency
  • Winchester, VA
  • NPI 1467864678
  Care Compare affiliation
• Sentara Enterprises

  • Home Health Agency
  • Dumfries, VA
  • NPI 1831414192
  Care Compare affiliation

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586563200000",
    "number": "1487817466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 GOLANSKY BLVD STE 101",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924267",
            "telephone_number": "571-989-4134",
            "fax_number": "703-774-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3122 GOLANSKY BLVD STE 101",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924267",
            "telephone_number": "571-989-4134",
            "fax_number": "703-774-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CHANTAL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2020-04-11",
        "certification_date": "2020-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD038499",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0069954",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101245466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANTAL",
            "last_name": "LEWIS",
            "middle_name": "D",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Morgan Lesesne, MSW
• Elise Gelfand Lestz, PT
• Emily Alexis Levan
• Arnold Steven Levin, D.P.M.
• Aisha Nicole Lewis
• Val McClain Lewis, MA
• William L Lewis
• Briana Leyva
• LG Medical Supplies LLC
• Tessa Li

• Family Medicine Physician in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.