NPIMap

Organization Active NPI

Kerry R. Lewis M.D. LTD.

  • Adult Medicine Physician
  • Fairfax, VA
National Provider Identifier
1508153602
Registry record updated Jul 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
0101028949 Issued in VA
Legal business name
KERRY R. LEWIS M.D. LTD.
Practice address
10560 Main St
Suite 210
Fairfax, VA 22030-7182
Phone
(703) 273-3613
NPI assigned
Jul 9, 2011
Last updated
Jul 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2011

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

Authorized official

Name
Dr. Kerry Randall Lewis, M.D.NPI 1801810619
Title
Physician
Phone
(703) 273-3613

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
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X 0101028949 VA Primary

Addresses

Primary practice location

10560 Main St
Suite 210
Fairfax, VA 22030-7182

Mailing address

10560 Main St
Suite 210
Fairfax, VA 22030-7182
Phone (703) 273-3613

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1310169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310169600000",
    "number": "1508153602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10560 MAIN ST",
            "address_2": "SUITE 210",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307182",
            "telephone_number": "703-273-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10560 MAIN ST",
            "address_2": "SUITE 210",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307182",
            "telephone_number": "703-273-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRY R. LEWIS M.D. LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-09",
        "last_updated": "2011-07-09",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "703-273-3613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "VA",
            "license": "0101028949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.