Individual provider Active NPI

Eugene H Lewis III, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Bridgeport, CT
National Provider Identifier
1609830470
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
043185 Issued in CT
Practice address
2800 Main St
St. Vincent's Medical Center, Dept. of Pathology
Bridgeport, CT 06606-4201
Phone
(203) 576-5033
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 043185 CT Primary

Addresses

Primary practice location

2800 Main St
St. Vincent's Medical Center, Dept. of Pathology
Bridgeport, CT 06606-4201

Mailing address

2800 Main St
St. Vincent's Medical Center, Dept. of Pathology
Bridgeport, CT 06606-4201
Phone (203) 576-5033

Other identifiers 1

IdentifierTypeStateIssuer
001431858MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20050524001282 CT Practitioner - Pathology 7618919259 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of New England, College of Osteo Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairfield County Pathology Consultants, LLCGroup PAC ID 7113969833, 3 clinicians

Practice addresses (Care Compare)

2800 Main St
Bridgeport, CT 06606-4201
Phone (203) 576-5033

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.74 of 100Reported as individual
Quality
42
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043185CTMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield County Pathology Consultants, LLC Anatomic Pathology & Clinical Pathology CurrentSince Jul 5, 2005 Accepting new patients
Connecticut Gi PLLC Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2022 Accepting new patients
Greater Bridgeport Diagnostics LLC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571

30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131

Interoperability endpoints

  • Direct secure messaging: eugene.lewis@xdr.hhchealthdirect.org

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 5

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1609830470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MAIN ST",
            "address_2": "ST. VINCENT'S MEDICAL CENTER, DEPT. OF PATHOLOGY",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064201",
            "telephone_number": "203-576-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MAIN ST",
            "address_2": "ST. VINCENT'S MEDICAL CENTER, DEPT. OF PATHOLOGY",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064201",
            "telephone_number": "203-576-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "EUGENE",
        "middle_name": "H",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CT",
            "license": "043185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001431858",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.