NPIMap

Individual provider Active NPI

Gideon Griffeth Lewis, M.D.

  • Adult Medicine Physician
  • Winter Park, FL
National Provider Identifier
1508845116
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
ME 29256 Issued in FL
Practice address
650 N Wymore Rd
Suite 202
Winter Park, FL 32789-2859
Phone
(407) 647-0199
Fax
(407) 647-0213
NPI assigned
Jan 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Family Medicine) Physician 207QA0000X ME 29256 FL
Adult Medicine Physician 207QA0505X ME 29256 FL Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X ME 29256 FL

Addresses

Primary practice location

650 N Wymore Rd
Suite 202
Winter Park, FL 32789-2859

Mailing address

650 N Wymore Rd
Suite 202
Winter Park, FL 32789-2859
Phone (407) 647-0199

Other identifiers 7

IdentifierTypeStateIssuer
2403499008OtherFLCIGNA HEALTHCARE ID
ME 29256OtherFLSTATE LICENSE
4311031OtherFLAETNA PPO/POS ID
59249OtherFLBCBS ID
064809400MedicaidFL
080137252OtherFLRAILROAD MEDICARE ID
2134653OtherFLAETNA HMO ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20060824000231 FL Practitioner - Family Practice 8628071057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DRS Lewis and Lewis PAGroup PAC ID 1456354885, 2 clinicians

Practice addresses (Care Compare)

650 N Wymore Rd
Suite 202
Winter Park, FL 32789-2859
Phone (407) 647-0199

Hospital & facility affiliations

  • Adventhealth Home Health Home health agency, Altamonte Springs, FL, CCN 107211
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Adventhealth Waterman Hospital, Tavares, FL, CCN 100057

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 29256FLMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Lewis and Lewis, P.a. CurrentSince Apr 24, 2006 Accepting new patients

Locations

650 N Wymore Rd
Ste 202
Winter Park, FL 32789
Phone (407) 647-0199

Interoperability endpoints

  • Direct secure messaging: gideonglewismd@5d839b4d.micromddirect.com

Organizations & group practices 1

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1508845116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N WYMORE RD",
            "address_2": "SUITE 202",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892859",
            "telephone_number": "407-647-0199",
            "fax_number": "407-647-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N WYMORE RD",
            "address_2": "SUITE 202",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892859",
            "telephone_number": "407-647-0199",
            "fax_number": "407-647-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "GIDEON",
        "middle_name": "GRIFFETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "FL",
            "license": "ME 29256",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME 29256",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME 29256",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE ID",
            "identifier": "2403499008",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME 29256",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO/POS ID",
            "identifier": "4311031",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "59249",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064809400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID",
            "identifier": "080137252",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO ID",
            "identifier": "2134653",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.