Individual provider Active NPI

John Frederick Lewison, MD

  • Internal Medicine Physician
  • South Lake Tahoe, CA
National Provider Identifier
1497795678
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G146742 Issued in CA
Practice address
2170 South Ave
South Lake Tahoe, CA 96150-7026
Phone
(530) 541-3420
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X G146742 CA
Internal Medicine Physician 207R00000X G146742 CA Primary

Addresses

Primary practice location

2170 South Ave
South Lake Tahoe, CA 96150-7026

Mailing address

1111 Emerald Bay Rd
South Lake Tahoe, CA 96150-6207
Phone (530) 543-5659

Other practice location 1

2201 South Ave
South Lake Tahoe, CA 96150-7025
Phone (530) 543-5623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, AZ, CA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20081205000276 MT Practitioner - Internal Medicine 0446237556 Reassigns benefits to 5 organizations
I20150410002159 AZ Practitioner - Internal Medicine 0446237556 Reassigns benefits to 1 organization
I20170607000631 CA Practitioner - Internal Medicine 0446237556 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Maryland School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Peters HealthGroup PAC ID 7911814926, 206 clinicians

Practice addresses (Care Compare)

2475 Broadway
Helena, MT 59601-4928

2475 E Broadway St
Helena, MT 59601-4928
Phone (406) 457-4180

630 N Last Chance Gulch
Suite 1100
Helena, MT 59601-3551
Phone (406) 752-0440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
71.01
Promoting interoperability
100
Improvement activities
40
Cost
74.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
146742CAMDMarriage & Family Therapist
G146742CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barton Healthcare System CurrentSince Jul 28, 2018 Accepting new patients
St. Peter's Health CurrentSince Jun 15, 2020 Accepting new patients
Superior Specialty Pharmacy of Montana, LLC CurrentSince Jan 12, 2026 Accepting new patients
Heavens Peak Healthcare LLC CurrentSince Aug 1, 2019 Accepting new patients
Barton Healthcare System Family Medicine Current Accepting new patients
Comprehensive Hospitalist Services of Arizona, LLC Hospitalist CurrentSince Feb 7, 2015 Accepting new patients
Barton Healthcare System CurrentSince Jul 28, 2018 Accepting new patients
Cogent Healthcare of Montana P C Family Medicine CurrentSince Jan 1, 2017 Accepting new patients
Comprehensive Hospitalist Services of Arizona LLC Hospitalist Current Accepting new patients
Tahoe Carson Valley Medical Group Inc Family Medicine CurrentSince Feb 16, 2017 Accepting new patients
St Peters Hospital CurrentSince Jun 15, 2020 Accepting new patients
St Peter's Health Current Accepting new patients
St. John's Lutheran Hospital, Inc. Past Accepting new patients
Carolinaeast Medical Center Past Accepting new patients
St. Peter's Health Past Accepting new patients
Logan Health - Whitefish Past Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

1111 Emerald Bay Rd
South Lake Tahoe, CA 96150
Phone (530) 543-5659

3860 Saddle Rd
South Lake Tahoe, CA 96150
Phone (530) 543-5575

2201 South Ave
South Lake Tahoe, CA 96150
Phone (530) 543-5550

2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420

1090 3rd St
South Lake Tahoe, CA 96150
Phone (530) 543-5660

1035 9th St W
Columbia Fls, MT 59912
Phone (406) 250-8717

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

630 N Last Chance Gulch
Ste 1100
Helena, MT 59601
Phone (406) 646-2522

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202

Interoperability endpoints

  • Direct secure messaging: jlewison115800@direct.renown.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 4

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1497795678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 EMERALD BAY RD",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506207",
            "telephone_number": "530-543-5659",
            "fax_number": "530-541-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 SOUTH AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507026",
            "telephone_number": "530-541-3420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 South Ave",
            "address_purpose": "LOCATION",
            "city": "South Lake Tahoe",
            "state": "CA",
            "postal_code": "961507025",
            "country_code": "US",
            "telephone_number": "530-543-5623",
            "fax_number": "530-541-5738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWISON",
        "first_name": "JOHN",
        "middle_name": "FREDERICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "G146742",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G146742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

Verify at the official NPI Registry.