Individual provider Active NPI

Douglas P Lewis, MD

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1558366641
Registry record updated Feb 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-27081 Issued in KS
Practice address
1121 S Clifton Ave
Wichita, KS 67218-2912
Phone
(316) 689-5500
Fax
(316) 691-6719
NPI assigned
Jun 16, 2005
Last updated
Feb 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-27081 KS Primary

Addresses

Primary practice location

1121 S Clifton Ave
Wichita, KS 67218-2912

Mailing address

PO Box 1897
Wichita, KS 67201-1897
Phone (316) 268-8131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050210000830 KS Practitioner - Family Practice 1456303106 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3311 E Murdock St
Wichita, KS 67208-3054
Phone (316) 689-9349

707 N Emporia St
Wichita, KS 67214-3707
Phone (316) 858-3460

929 N Saint Francis Ave
Wichita, KS 67214-3821
Phone (316) 268-5000

929 N Saint Francis St
Wichita, KS 67214-3821

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group Via Christi, PA CurrentSince Nov 1, 2019 Accepting new patients
Ascension Medical Group Via Christi, PA CurrentSince Nov 1, 2019 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Nov 1, 2009 Accepting new patients
Metro Treatment Center, Inc. CurrentSince Jun 30, 2014 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Family Medicine CurrentSince Nov 1, 2009 Accepting new patients
Kansas Inpatient Services, LLC Past Accepting new patients
Via Christi Hospitals Wichita, Inc. Family Medicine Past Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Past Accepting new patients

Locations

1121 S Clifton Ave
Wichita, KS 67218
Phone (316) 689-5500

3311 E Murdock St
Wichita, KS 67208
Phone (316) 689-9107

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

707 N Emporia St
Wichita, KS 67214
Phone (316) 858-3460

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423267200000",
    "number": "1558366641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1897",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672011897",
            "telephone_number": "316-268-8131",
            "fax_number": "316-291-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 S CLIFTON AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182912",
            "telephone_number": "316-689-5500",
            "fax_number": "316-691-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DOUGLAS",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2015-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-27081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.