Active NPI
David Leroy Lewis Jr., M.D.
- Pain Medicine (Anesthesiology) Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 2012-00520
- Practice address
- 19315 Livernois Ave
Detroit, MI 48221-1717 - Phone
- (954) 384-0175
- NPI assigned
- Jul 22, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 201200520 | NC | |
| Interventional Pain Medicine Physician | 208VP0014X | 201200520 | NC | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 2012-00520 | NC | Primary |
Addresses
Primary practice location
19315 Livernois Ave
Detroit, MI 48221-1717
Mailing address
19315 Livernois Ave
Detroit, MI 48221-1717
Phone (954) 384-0175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Meharry Medical College School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25500 Meadowbrook Rd
Suite 110
Novi, MI 48375-1879
Phone (248) 477-2200
30055 Northwestern Hwy
Suite L 60
Farmington Hills, MI 48334-3274
Phone (248) 265-6555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201200520 | NC | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novi Aas LLC | Current | Accepting new patients | |
| Northwestern Services, LLC | Current | Accepting new patients | |
| Medcare Inc | Pain Medicine | Current | Accepting new patients |
| GLPS Staffing Solutions LLC | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Northwestern Services, LLC | Current | Accepting new patients | |
| Mid-South Anesthesia Consultants, PLLC | Past | Accepting new patients | |
| Pain Management, LLC | Interventional Pain Medicine | Past | Accepting new patients |
| American Anesthesiology of North Carolina, PLLC | Pain Medicine | Past | Accepting new patients |
Locations
30055 Northwestern Hwy
Ste L-60
Farmington Hills, MI 48334
Phone (248) 265-6555
3800 Centennial Dr
Grass Lake, MI 49240
Phone (517) 701-3100
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500
1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727
25500 Meadowbrook Rd
Ste 110
Novi, MI 48375
Phone (248) 477-0220
43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658
2243 E 12 Mile Rd
Warren, MI 48092
Phone (586) 573-8100
Organizations & group practices 10
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.
-
- Certified Registered Nurse Anesthetist
- Farmington Hills, MI
- NPI 1215106679
-
- Anesthesiology Physician
- Novi, MI
- NPI 1598176919
-
- Certified Registered Nurse Anesthetist
- Mount Clemens, MI
- NPI 1750797015
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Anesthesiology Physician
- Farmington Hills, MI
- NPI 1083883649
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
-
- Pain Medicine (Anesthesiology) Physician
- Monroe, NC
- NPI 1174817993
-
- Specialist
- Southaven, MS
- NPI 1003869520
-
- Interventional Pain Medicine Physician
- Mt Pleasant, SC
- NPI 1104914076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1548490709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19315 LIVERNOIS AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482211717",
"telephone_number": "954-384-0175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19315 LIVERNOIS AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482211717",
"telephone_number": "954-384-0175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "DAVID",
"middle_name": "LEROY",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-22",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "NC",
"license": "201200520",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NC",
"license": "201200520",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NC",
"license": "2012-00520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.