Individual provider Active NPI

Wesley Kreig Lewis, DPM

  • Foot & Ankle Surgery Podiatrist
  • Apache Junction, AZ
National Provider Identifier
1639589302
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD-000980 Issued in AZ
Practice address
740 N San Marcos Dr
Apache Junction, AZ 85120-5518
Phone
(480) 597-1751
Fax
(480) 360-6591
NPI assigned
May 5, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 980 AZ
Foot & Ankle Surgery Podiatrist 213ES0103X T-1448 NM
Foot & Ankle Surgery Podiatrist 213ES0103X 866 AZ
Foot & Ankle Surgery Podiatrist 213ES0103X POD-000980 AZ Primary

Addresses

Primary practice location

740 N San Marcos Dr
Apache Junction, AZ 85120-5518

Mailing address

740 N San Marcos Dr
Apache Junction, AZ 85120-5518
Phone (480) 597-1751

Other practice location 1

2066 W Apache Trl Ste 110
Apache Junction, AZ 85120-3733
Phone (480) 710-3816

Other identifiers 1

IdentifierTypeStateIssuer
278161MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170711002434 AZ Practitioner - Podiatry 5395014104 Reassigns benefits to 4 organizations
I20200904000612 UT Practitioner - Podiatry 5395014104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospital Association IncGroup PAC ID 4981688900, shared by 5 NPIs, 29 clinicians

Practice addresses (Care Compare)

519 Rose LN
Wickenburg, AZ 85390-1448
Phone (928) 684-4365

523 Rose LN
Wickenburg, AZ 85390-1448

740 N San Marcos Dr
Apache Junction, AZ 85120-5518
Phone (480) 597-1751

Hospital & facility affiliations

  • Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088
  • Wickenburg Community Hospital Hospital, Wickenburg, AZ, CCN 031300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue83
Removal of skin lesions1-10
Removal of nail tissue400
Removal or shaving of skin growth187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
980AZMDFoot & Ankle Surgery Podiatrist
T-1448NMMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Saguaro Foot & Ankle Clinic PLLC Primary Podiatric Medicine CurrentSince Apr 8, 2021 Accepting new patients
Saguaro Foot and Ankle PLLC Foot & Ankle Surgery Current Accepting new patients
Livi Medical Services LLC CurrentSince Oct 13, 2021 Accepting new patients
Apex Foot and Ankle Institute Foot & Ankle Surgery CurrentSince Aug 21, 2020 Accepting new patients
Community Hospital Association, Inc. CurrentSince Apr 16, 2024 Accepting new patients
Community Hospital Association, Inc. CurrentSince Apr 16, 2024 Accepting new patients
Community Hospital Association, Inc. Past Accepting new patients
James H Barton MD DDS PC PastSince Oct 19, 2016 Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients

Locations

740 N San Marcos Dr
Apache Junction, AZ 85120
Phone (480) 597-1751

2066 W Apache Trl
Ste 110
Apache Junction, AZ 85120
Phone (480) 597-1751

3030 N Central Ave
Ste 1200
Phoenix, AZ 85012
Phone (480) 607-0606

11000 N Scottsdale Rd
Ste 110
Scottsdale, AZ 85254
Phone (480) 607-0606

6380 E Thomas Rd
Ste 100
Scottsdale, AZ 85251
Phone (480) 607-0606

523 Rose Ln
Wickenburg, AZ 85390
Phone (928) 668-1833

520 Rose Ln
Wickenburg, AZ 85390
Phone (928) 666-1197

882 N Main St
#2
Richfield, UT 84701
Phone (435) 287-2444

882 N Main St
Richfield, UT 84701
Phone (435) 287-2444

Organizations & group practices 9

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 2

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": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1639589302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 N SAN MARCOS DR",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851205518",
            "telephone_number": "480-597-1751",
            "fax_number": "480-360-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 N SAN MARCOS DR",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851205518",
            "telephone_number": "480-597-1751",
            "fax_number": "480-360-6591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2066 W Apache Trl Ste 110",
            "address_purpose": "LOCATION",
            "city": "Apache Junction",
            "state": "AZ",
            "postal_code": "851203733",
            "country_code": "US",
            "telephone_number": "480-710-3816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "WESLEY",
        "middle_name": "KREIG",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-05",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "980",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": "T-1448",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "866",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "POD-000980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278161",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apache Junction, AZ

Sources for this page

Verify at the official NPI Registry.