NPIMap

Individual provider Active NPI

Jennifer L Lewis, MD

  • Internal Medicine Physician
  • McMurray, PA
National Provider Identifier
1598766115
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD069652L Issued in PA
Practice address
157 Waterdam Rd Ste 120
MC Murray, PA 15317-2573
Phone
(724) 941-6697
Fax
(724) 941-7563
NPI assigned
Aug 4, 2005
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD069652L PA Primary

Addresses

Primary practice location

157 Waterdam Rd Ste 120
MC Murray, PA 15317-2573

Mailing address

157 Waterdam Rd Ste 120
MC Murray, PA 15317-2573
Phone (724) 941-6697

Other practice location 1

100 Medical Blvd
Canonsburg, PA 15317-9762
Phone (724) 941-7144

Other identifiers 1

IdentifierTypeStateIssuer
001808956MedicaidPA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jlewis11071@direct.ahn.org
Direct Messaging Address jlewis11071@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080603000230 PA Practitioner - Internal Medicine 9739259722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Pittsburgh School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

157 Waterdam Rd
120 Primary Care Professionals
MC Murray, PA 15317-2573
Phone (724) 941-6697

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD069652LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Jan 1, 2014 Accepting new patients
Allegheny Clinic CurrentSince Jan 1, 2014 Accepting new patients
Barr Street Corporation Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Allegheny Clinic Past Accepting new patients
North Strabane Rehabilitation & Nursing, LLC Past Accepting new patients

Locations

100 Medical Blvd
Canonsburg, PA 15317
Phone (412) 359-4138

100 Medical Blvd
Ste 120
Canonsburg, PA 15317

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

157 Waterdam Rd
Ste 120
McMurray, PA 15317
Phone (724) 941-6697

1307 Federal St
Ste 304
Pittsburgh, PA 15212
Phone (412) 359-3682

4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030

4815 Liberty Ave
Ste 154
Pittsburgh, PA 15224
Phone (412) 578-4003

490 E North Ave
Ste 307
Pittsburgh, PA 15212
Phone (412) 321-4925

Interoperability endpoints

  • Direct secure messaging: jlewis11071@direct.ahn.org

Organizations & group practices 7

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 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1598766115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 WATERDAM RD STE 120",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172573",
            "telephone_number": "724-941-6697",
            "fax_number": "724-941-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 WATERDAM RD STE 120",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172573",
            "telephone_number": "724-941-6697",
            "fax_number": "724-941-7563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Medical Blvd",
            "address_purpose": "LOCATION",
            "city": "Canonsburg",
            "state": "PA",
            "postal_code": "153179762",
            "country_code": "US",
            "telephone_number": "724-941-7144",
            "fax_number": "724-941-7625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-04",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD069652L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001808956",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlewis11071@direct.ahn.org",
            "affiliation": "N",
            "address_1": "157 Waterdam Rd Ste 120",
            "city": "Mc Murray",
            "state": "PA",
            "country_code": "US",
            "postal_code": "153172573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlewis11071@direct.ahn.org",
            "affiliation": "N",
            "address_1": "100 Medical Blvd",
            "city": "Canonsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "153179762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McMurray, PA

Sources for this page

Verify at the official NPI Registry.