Individual provider Active NPI

Randy Michael Lew, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Burleson, TX
National Provider Identifier
1528025277
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1495 Issued in TX
Practice address
11807 South Fwy
Ste. 361
Burleson, TX 76028-7005
Phone
(817) 615-8110
Fax
(817) 615-8099
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1495 TX Primary

Addresses

Primary practice location

11807 South Fwy
Ste. 361
Burleson, TX 76028-7005

Mailing address

11807 South Fwy
Ste. 361
Burleson, TX 76028-7005
Phone (817) 615-8110

Other names 1

  • Dr. Randy Michael Lew Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040826001119 TX Practitioner - Podiatry 7618942301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11807 S Fwy
Suite 361
Burleson, TX 76028-7045
Phone (817) 615-8110

Hospital & facility affiliations

  • Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677

Merit-based Incentive Payment System (MIPS)

Final score
17.5 of 100Reported as individual
Quality
25
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue172
Removal of nail tissue533
Removal or shaving of skin growth287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1495TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Randy Lew, DPM, PA Foot & Ankle Surgery CurrentSince Dec 1, 2002 Accepting new patients
Surgery Associates of NTX, PLLC Past Accepting new patients
DFW Foot and Ankle, PA Foot & Ankle Surgery PastSince Mar 1, 2002 Accepting new patients

Locations

11807 South Fwy
Burleson, TX 76028
Phone (817) 551-0445

11803 South Fwy
Ste 110
Burleson, TX 76028
Phone (817) 551-7332

11807 South Fwy
Ste 361
Burleson, TX 76028
Phone (817) 293-3300

Organizations & group practices 3

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 3

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528025277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11807 SOUTH FWY",
            "address_2": "STE. 361",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287005",
            "telephone_number": "817-615-8110",
            "fax_number": "817-615-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11807 SOUTH FWY",
            "address_2": "STE. 361",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287005",
            "telephone_number": "817-615-8110",
            "fax_number": "817-615-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEW",
        "first_name": "RANDY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDY",
            "last_name": "LEW",
            "middle_name": "MICHAEL",
            "prefix": "DR.",
            "credential": "D.P.M.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.