Individual provider Active NPI

Talia Ahuva Lewis, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Danvers, MA
National Provider Identifier
1619380482
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
260181 Issued in MA
Practice address
75 Sylvan St Ste B102
Danvers, MA 01923-2764
Phone
(978) 774-7566
NPI assigned
Jun 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 260181 MA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 260181 MA Primary

Addresses

Primary practice location

75 Sylvan St Ste B102
Danvers, MA 01923-2764

Mailing address

75 Sylvan St Ste B102
Danvers, MA 01923-2764
Phone (978) 774-7566

Other practice location 1

195 Canal St
Malden, MA 02148-6701
Phone (781) 338-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20180920001533 MA Practitioner - Hospice/Palliative Care 6800191677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative Care
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care Dimensions IncGroup PAC ID 7214924554, 16 clinicians

Practice addresses (Care Compare)

75 Sylvan St
Suite B102
Danvers, MA 01923-2764
Phone (978) 774-7566

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Care Dimensions, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Care Dimensions, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Care Dimensions, Inc. Current Accepting new patients

Locations

75 Sylvan St
Ste B102
Danvers, MA 01923
Phone (888) 283-1722

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/caredimensions
  • Direct secure messaging: talialewis@cdi.allscriptsdirect.net

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 3

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1619380482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SYLVAN ST STE B102",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232764",
            "telephone_number": "978-774-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SYLVAN ST STE B102",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232764",
            "telephone_number": "978-774-7566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 Canal St",
            "address_purpose": "LOCATION",
            "city": "Malden",
            "state": "MA",
            "postal_code": "021486701",
            "country_code": "US",
            "telephone_number": "781-338-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "TALIA",
        "middle_name": "AHUVA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "260181",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "MA",
            "license": "260181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.