Individual provider Active NPI

Virginia P Lewis

  • Dermatology Physician
  • West Monroe, LA
National Provider Identifier
1528027620
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
024992 Issued in LA
Practice address
324 Circle Dr
West Monroe, LA 71291-5308
Phone
(318) 322-3535
Fax
(318) 322-3560
NPI assigned
Mar 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 024992 LA Primary

Addresses

Primary practice location

324 Circle Dr
West Monroe, LA 71291-5308

Mailing address

324 Circle Dr
West Monroe, LA 71291-5308
Phone (318) 322-3535

Other identifiers 1

IdentifierTypeStateIssuer
1423238MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040525000302 LA Practitioner - Dermatology 0547241887 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in Shreveport, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates Inc Apmc 2 clinicians

Practice addresses (Care Compare)

324 Circle Dr
West Monroe, LA 71291-5308
Phone (318) 322-3535

Hospital & facility affiliations

  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
  • Hardtner Medical Center Hospital, Olla, LA, CCN 191315

Merit-based Incentive Payment System (MIPS)

Final score
95.46 of 100Reported as individual
Quality
91.75
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision69
Removal of skin lesions2103
Removal of nail tissue1-10
Removal or shaving of skin growth16
Skin biopsy591

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024992LAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates Inc. Apmc Dermatology CurrentSince Jul 1, 2004 Accepting new patients
Lasalle Parish Hospital Service Dist No1 CurrentSince Oct 23, 2025 Accepting new patients
Lasalle Parish Hospital Service District #1 CurrentSince Mar 10, 2023 Accepting new patients
Lasalle Parish Hospital Service District #1 CurrentSince Mar 10, 2023 Accepting new patients

Locations

1102 N Pine Rd
Olla, LA 71465
Phone (318) 495-5302

324 Circle Dr
West Monroe, LA 71291
Phone (318) 322-3535

102 Thomas Rd
Ste 113
West Monroe, LA 71291
Phone (318) 322-3535

Organizations & group practices 4

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 5

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1528027620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 CIRCLE DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915308",
            "telephone_number": "318-322-3535",
            "fax_number": "318-322-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 CIRCLE DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915308",
            "telephone_number": "318-322-3535",
            "fax_number": "318-322-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "VIRGINIA",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "024992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1423238",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.