Individual provider Active NPI

Gregory Lewer, MD

  • Family Medicine Physician
  • Boise, ID
National Provider Identifier
1669414975
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M5712 Issued in ID
Practice address
10255 W Overland Rd
Boise, ID 83709-1430
Phone
(208) 367-7205
Fax
(208) 367-7204
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M5712 ID Primary

Addresses

Primary practice location

10255 W Overland Rd
Boise, ID 83709-1430

Mailing address

10255 W Overland Rd
Boise, ID 83709-1430
Phone (208) 367-7205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20171026000173 ID Order and Referring Only - Family PracticePractitioner - Family Practice 6002807963

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2971FLMDFamily Medicine Physician
M5712IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Dayton, DO, PA Family Medicine PastSince May 19, 2015 Accepting new patients
Dayton-Dandes Center for Integrative Medicine LLC Past Accepting new patients
Saint Alphonsus Regional Medical Center Inc Family Medicine Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669414975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10255 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091430",
            "telephone_number": "208-367-7205",
            "fax_number": "208-367-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10255 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091430",
            "telephone_number": "208-367-7205",
            "fax_number": "208-367-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWER",
        "first_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M5712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.