Active NPI
Robert I Lewis, D.O.
- Urology Physician
- Bellefontaine, OH
National Provider Identifier
1689674772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 34-003294
- Practice address
- 2160 Ewing Crawfis Cir
Bellefontaine, OH 43311-9042 - Phone
- (937) 593-0070
- Fax
- (937) 599-0075
- NPI assigned
- Jul 29, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 34-003294 | OH | Primary |
Addresses
Primary practice location
2160 Ewing Crawfis Cir
Bellefontaine, OH 43311-9042
Mailing address
2160 Ewing Crawfis Cir
Bellefontaine, OH 43311-9042
Phone (937) 593-0070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0487941 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34-003294 | OH | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Rutan Hospital | Past | Accepting new patients | |
| Ohiohealth Corporation | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | 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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Family Medicine Physician
- West Liberty, OH
- NPI 1003875949
-
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367193600000",
"number": "1689674772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 EWING CRAWFIS CIR",
"city": "BELLEFONTAINE",
"state": "OH",
"postal_code": "433119042",
"telephone_number": "937-593-0070",
"fax_number": "937-599-0075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 EWING CRAWFIS CIR",
"city": "BELLEFONTAINE",
"state": "OH",
"postal_code": "433119042",
"telephone_number": "937-593-0070",
"fax_number": "937-599-0075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "ROBERT",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2013-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OH",
"license": "34-003294",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0487941",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellefontaine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.