Individual provider Active NPI

Mark Alan Lewis, MD

  • Dermatology Physician
  • Danvers, MA
National Provider Identifier
1538262670
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
44331 Issued in MA
Practice address
99 Conifer Hill Dr
Danvers, MA 01923-1193
Phone
(978) 774-2555
Fax
(978) 774-8715
NPI assigned
Sep 6, 2006
Last updated
May 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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 44331 MA Primary

Addresses

Primary practice location

99 Conifer Hill Dr
Danvers, MA 01923-1193

Mailing address

147 S Main St
Middleton, MA 01949-2446
Phone (978) 774-2555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050715000337 MA Practitioner - Dermatology 3375579832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York University School of Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middleton Family Medicine Urgent Care LLCGroup PAC ID 0042533218, 74 clinicians

Practice addresses (Care Compare)

147 S Main St
Middleton, MA 01949-2446
Phone (978) 774-2555

Merit-based Incentive Payment System (MIPS)

Final score
86.63 of 100Reported as group
Quality
84.27
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions23
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Middleton Family Medicine Urgent Care, LLC CurrentSince Jun 26, 2025 Accepting new patients
Mark a Lewis, MD Dermatology Past Accepting new patients
Nedan LLC Dermatology Past Accepting new patients

Locations

99 Conifer Hill Dr
Danvers, MA 01923
Phone (978) 774-2555

147 S Main St
Middleton, MA 01949
Phone (978) 774-2555

Interoperability endpoints

  • Direct secure messaging: mlewis@nedermatology.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1538262670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 S MAIN ST",
            "city": "MIDDLETON",
            "state": "MA",
            "postal_code": "019492446",
            "telephone_number": "978-774-2555",
            "fax_number": "978-774-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CONIFER HILL DR",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231193",
            "telephone_number": "978-774-2555",
            "fax_number": "978-774-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "44331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.