Individual provider Active NPI

Richard J Lewis, D.O.

  • Obstetrics & Gynecology Physician
  • Aberdeen, SD
National Provider Identifier
1659310191
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
63368 Issued in GA
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, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
293211408AMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210712003319 HI Practitioner - Obstetrics/Gynecology 2668567033 Reassigns benefits to 2 organizations

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
Alii Health CenterGroup PAC ID 4486984549, 50 clinicians

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

LicenseStateTypeSpecialty
63368GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ali'I Health Center CurrentSince Sep 1, 2024 Accepting new patients
Alii Health Center CurrentSince Sep 1, 2024 Accepting new patients
Queens North Hawaii Community Hospital Obstetrics & Gynecology CurrentSince Jul 26, 2021 Accepting new patients
North Hawaii Community Hospital CurrentSince Jul 26, 2021 Accepting new patients
Alii Health Center PastSince Feb 14, 2021 Accepting new patients
Hackensack Meridian Health Medical Group - Primary Care PC Obstetrics & Gynecology PastSince Jan 1, 2014 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.