Active NPI
Richard J Lewis, D.O.
- Obstetrics & Gynecology Physician
- Aberdeen, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 63368
- Practice address
- 3015 3Rd Ave SE
Aberdeen, SD 57401-5418 - Phone
- (605) 226-5500
- Fax
- (605) 226-4601
- NPI assigned
- Jun 6, 2006
- Last updated
- Feb 7, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 63368 | GA | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 20182 | MT |
Addresses
Primary practice location
3015 3Rd Ave SE
Aberdeen, SD 57401-5418
Mailing address
3015 3Rd Ave SE
Aberdeen, SD 57401-5418
Phone (605) 226-5500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 293211408A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
78 -6831 Alii Dr
Suite 411
Kailua Kona, HI 96740-5403
Phone (808) 747-8321
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63368 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ali'I Health Center | Current | Accepting new patients | |
| Alii Health Center | Current | Accepting new patients | |
| Queens North Hawaii Community Hospital | Obstetrics & Gynecology | Current | Accepting new patients |
| North Hawaii Community Hospital | Current | Accepting new patients | |
| Alii Health Center | Past | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Primary Care PC | Obstetrics & Gynecology | Past | Accepting new patients |
| Jersey Shore Monmouth County Associates | Obstetrics & Gynecology | Past | Accepting new patients |
| Kona Hospital | Past | Accepting new patients |
Locations
78-6831 Alii Dr
Ste 411
Kailua Kona, HI 96740
Phone (808) 636-6393
78-6831 Alii Dr
Ste 418
Kailua Kona, HI 96740
Phone (808) 747-8725
78-6831 Alii Dr
Ste 422
Kailua Kona, HI 96740
Phone (808) 747-8321
67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400
Interoperability endpoints
- https://mepic.hmhn.org/fhir/api/FHIR/R4/
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Kailua Kona, HI
- NPI 1285107698
-
- Orthopaedic Surgery Physician
- Kamuela, HI
- NPI 1528049814
Obstetrics & Gynecology
-
dba Ali'i Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Kailua Kona, HI
- NPI 1144949967
-
dba NHCH - Diabetes Wellness
- General Acute Care Hospital
- Kamuela, HI
- NPI 1831380724
-
- Urology Physician
- Kailua Kona, HI
- NPI 1225620321
-
dba HMHMG Primary Care
- Family Medicine Physician
- Red Bank, NJ
- NPI 1336203538
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Wall Township, NJ
- NPI 1891732566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486425600000",
"number": "1659310191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3015 3RD AVE SE",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574015418",
"telephone_number": "605-226-5500",
"fax_number": "605-226-4601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 3RD AVE SE",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574015418",
"telephone_number": "605-226-5500",
"fax_number": "605-226-4601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "RICHARD",
"middle_name": "J",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2017-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "63368",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MT",
"license": "20182",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "293211408A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.