NPIMap

Individual provider Active NPI

Clayton Lewis, M.D

  • Surgery Physician
  • Colorado Springs, CO
National Provider Identifier
1629364534
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DR.0059462 Issued in CO
Practice address
2222 N Nevada Ave Ste 5017
Colorado Springs, CO 80907-6865
Phone
(719) 776-6810
Fax
(719) 776-6820
NPI assigned
Jun 20, 2011
Last updated
May 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X DR.0059462 CO Primary
General Practice Physician 208D00000X 01072163A IN

Addresses

Primary practice location

2222 N Nevada Ave Ste 5017
Colorado Springs, CO 80907-6865

Mailing address

1650 Cochrane Cir Unit Meddac
Fort Carson, CO 80913-4604
Phone (719) 524-4166

Other practice location 1

3851 Roger Brooke Dr
Brooke Army Medical Center
Fort Sam Houston, TX 78234
Phone (210) 916-0439

Other practice location 2

1400 E Boulder St Ste 500
Colorado Springs, CO 80909-5533
Phone (719) 364-6487

Other practice location 3

1650 Cochrane Cir
Fort Carson, CO 80913-4613
Phone (719) 524-4166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20181024002245 CO Practitioner - General Surgery 7012260813 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Pittsburgh School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1400 E Boulder St
Suite 600 Uchmg General and Vascular Surgery
Colorado Springs, CO 80909-5533
Phone (719) 364-6487

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0059462COMDSurgery Physician
01072163AINMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jan 15, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC Surgery CurrentSince Jan 15, 2024 Accepting new patients
Poudre Valley Medical Group, LLC Surgery Current Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Poudre Valley Medical Group, LLC General Practice CurrentSince Feb 28, 2020 Accepting new patients
Platte Valley Medical Group LLC CurrentSince Jan 15, 2023 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Aug 1, 2020 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Aug 1, 2020 Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Jan 15, 2023 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

1400 E Boulder St
Ste 500
Colorado Springs, CO 80909
Phone (719) 364-6487

1400 E Boulder St
Ste 600
Colorado Springs, CO 80909
Phone (719) 364-6487

2222 N Nevada Ave
Ste 5017
Colorado Springs, CO 80907
Phone (719) 635-2501

4110 Briargate Pkwy
Ste 460
Colorado Springs, CO 80920
Phone (719) 364-6487

4110 Briargate Pkwy
Ste 465
Colorado Springs, CO 80920
Phone (719) 471-3930

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Organizations & group practices 10

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1629364534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR UNIT MEDDAC",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134604",
            "telephone_number": "719-524-4166",
            "fax_number": "719-524-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N NEVADA AVE STE 5017",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076865",
            "telephone_number": "719-776-6810",
            "fax_number": "719-776-6820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3851 Roger Brooke Dr",
            "address_2": "Brooke Army Medical Center",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "78234",
            "country_code": "US",
            "telephone_number": "210-916-0439",
            "fax_number": "210-916-6658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 E Boulder St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809095533",
            "country_code": "US",
            "telephone_number": "719-364-6487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 Cochrane Cir",
            "address_purpose": "LOCATION",
            "city": "Fort Carson",
            "state": "CO",
            "postal_code": "809134613",
            "country_code": "US",
            "telephone_number": "719-524-4166",
            "fax_number": "719-524-4183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CLAYTON",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0059462",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01072163A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.