NPIMap

Individual provider Active NPI

Jeremiah James Lewis, M.D.

  • Internal Medicine Physician
  • Wilton, CT
National Provider Identifier
1497747968
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
032895 Issued in CT
Practice address
372 Danbury Rd Ste 197
Wilton, CT 06897-2523
Phone
(203) 966-6305
Fax
(203) 966-4618
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 032895 CT Primary

Addresses

Primary practice location

372 Danbury Rd Ste 197
Wilton, CT 06897-2523

Mailing address

372 Danbury Rd Ste 197
Wilton, CT 06897-2523
Phone (203) 276-3366

Other identifiers 1

IdentifierTypeStateIssuer
1497747968MedicaidCT

Other names 1

  • J James Lewis Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100331000071 CT Practitioner - Internal Medicine 9931298015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of Ny Upstate Medical University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stamford Health Medical Group IncGroup PAC ID 6901099746, 442 clinicians

Practice addresses (Care Compare)

372 Danbury Rd
Suite 197
Wilton, CT 06897-2523
Phone (203) 276-3366

Hospital & facility affiliations

  • Visiting Nurse & Hospice of Fairfield County, Inc Home health agency, Wilton, CT, CCN 077074
  • Western Connecticut Home Care Inc Home health agency, Danbury, CT, CCN 077088
  • Stamford Hospital Hospital, Stamford, CT, CCN 070006
  • Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018
  • Norwalk Hospital Hospital, Norwalk, CT, CCN 070034

Merit-based Incentive Payment System (MIPS)

Final score
86.6 of 100Reported as group
Quality
84.86
Promoting interoperability
99
Improvement activities
40
Cost
71.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
032895CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stamford Health Medical Group Inc Internal Medicine CurrentSince May 6, 2019 Accepting new patients
Stamford Hospital Past Accepting new patients

Locations

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

36 Grove St
New Canaan, CT 06840
Phone (203) 966-6305

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

195 Danbury Rd
Wilton, CT 06897
Phone (203) 276-8490

396 Danbury Rd
Wilton, CT 06897
Phone (203) 762-5623

Interoperability endpoints

  • Direct secure messaging: jlewis36835@stamfordhealth.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

Organizations & group practices 2

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 9

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1497747968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 DANBURY RD STE 197",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068972523",
            "telephone_number": "203-276-3366",
            "fax_number": "203-276-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 DANBURY RD STE 197",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068972523",
            "telephone_number": "203-966-6305",
            "fax_number": "203-966-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JEREMIAH",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "032895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497747968",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J",
            "last_name": "LEWIS",
            "middle_name": "JAMES",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilton, CT

Sources for this page

Verify at the official NPI Registry.