NPIMap

Individual provider Active NPI

Roger A Lewis, M.D.

  • Family Medicine Physician
  • Terra Alta, WV
National Provider Identifier
1568411858
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
WV12705 Issued in WV
Practice address
603B W State Ave
Terra Alta, WV 26764-1223
Phone
(304) 789-2457
Fax
(304) 789-6812
NPI assigned
May 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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 WV12705 WV Primary

Addresses

Primary practice location

603B W State Ave
Terra Alta, WV 26764-1223

Mailing address

603B W State Ave
Terra Alta, WV 26764-1223
Phone (304) 789-2457

Other identifiers 2

IdentifierTypeStateIssuer
CM7276OtherWVMEDICARE RAILROAD
056529000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040315001025 WV Practitioner - Family Practice 1052200078 Receives reassigned benefits from 1 practitioner
Practice locations: Terra Alta, WV

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

603 B W State Ave
Terra Alta, WV 26764-1223
Phone (304) 789-2457

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.85 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
77.5

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
WV12705WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hopemont Wva Facility Operations LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
WV Dept. of Health & Health Facilities Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHCCAA/Endpoint/DHCCAA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1568411858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603B W STATE AVE",
            "city": "TERRA ALTA",
            "state": "WV",
            "postal_code": "267641223",
            "telephone_number": "304-789-2457",
            "fax_number": "304-789-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603B W STATE AVE",
            "city": "TERRA ALTA",
            "state": "WV",
            "postal_code": "267641223",
            "telephone_number": "304-789-2457",
            "fax_number": "304-789-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ROGER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "WV12705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CM7276",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056529000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terra Alta, WV

Sources for this page

Verify at the official NPI Registry.