Active NPI
Herbert Anderson Lewis IV, M.D.
- Family Medicine Physician
- Russellville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E-7839
- Practice address
- St Mary'S Hospitalist Group
1808 W Main St
Russellville, AR 72801-2724 - Phone
- (479) 964-4178
- NPI assigned
- Jun 27, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | E-7839 | AR | |
| Hospitalist Physician | 208M00000X | E-7839 | AR | |
| Family Medicine Physician | 207Q00000X | E-7839 | AR | Primary |
Addresses
Primary practice location
St Mary'S Hospitalist Group
1808 W Main St
Russellville, AR 72801-2724
Mailing address
1808 W Main St
Russellville, AR 72801-2724
Other practice location 1
1125 N College Ave
Fayetteville, AR 72703-1908
Phone (479) 521-8260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 199346001 | Medicaid | AR |
Other names 1
- Dr. Drew Lewis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- 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
- Family Practice
- Education
- University of Arkansas College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health Northwest Arkansas Communities
Practice addresses (Care Compare)
2710 S Rife Medical LN
Rogers, AR 72758-1452
Phone (479) 636-0200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-7839 | AR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Arkansas Emergency Physicians LLP | Emergency Medicine | Current | Accepting new patients |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| South Arkansas Emergency Physicians, LLP | Emergency Medicine | Current | Accepting new patients |
| Mercy Health Northwest Arkansas Communities | Hospitalist | Current | Accepting new patients |
| Northwest Benton County Physician Services LLC | Family Medicine | Current | Accepting new patients |
| St Mary'S Physician Services LLC | Current | Accepting new patients | |
| South Arkansas Emergency Physicians, LLP | Emergency Medicine | Current | Accepting new patients |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Hospital Berryville | Current | Accepting new patients | |
| St Marys Physician Services, LLC | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| St Marys Physician Services, LLC | Past | Accepting new patients |
Locations
3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100
214 Carter St
Berryville, AR 72616
Phone (870) 423-3355
101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426
700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200
2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000
1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178
101 Skyline Dr
Russellville, AR 72801
Phone (479) 968-2345
609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711
Organizations & group practices 12
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.
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
-
- Hospitalist Physician
- Rogers, AR
- NPI 1699076737
-
- Critical Access Hospital
- Berryville, AR
- NPI 1457306326
-
- Family Medicine Physician
- Bentonville, AR
- NPI 1871553073
-
- Emergency Medicine Physician
- El Dorado, AR
- NPI 1942435458
-
- General Practice Physician
- Russellville, AR
- NPI 1124084991
-
- Orthopaedic Surgery Physician
- Rogers, AR
- NPI 1063835908
-
- Endocrinology, Diabetes & Metabolism Physician
- Rogers, AR
- NPI 1770087371
-
- Emergency Medicine Physician
- Springdale, AR
- NPI 1205257250
-
- Emergency Medicine Physician
- Siloam Springs, AR
- NPI 1225452055
-
- Durable Medical Equipment & Medical Supplies
- Russellville, AR
- NPI 1063626117
-
- Interventional Cardiology Physician
- Russellville, AR
- NPI 1720356207
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Berryville, AR
- NPI 1457306326
-
- General Acute Care Hospital
- Rogers, AR
- NPI 1316902414
-
- General Acute Care Hospital
- Springdale, AR
- NPI 1699726695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1558657635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1808 W MAIN ST",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728012724",
"fax_number": "479-444-7820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ST MARY'S HOSPITALIST GROUP",
"address_2": "1808 W MAIN ST",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728012724",
"telephone_number": "479-964-4178"
}
],
"practiceLocations": [
{
"address_1": "1125 N College Ave",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "AR",
"postal_code": "727031908",
"country_code": "US",
"telephone_number": "479-521-8260",
"fax_number": "479-444-7820",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "HERBERT",
"middle_name": "ANDERSON",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-27",
"last_updated": "2021-08-05",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AR",
"license": "E-7839",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AR",
"license": "E-7839",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-7839",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "199346001",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DREW",
"last_name": "LEWIS",
"prefix": "DR.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.