Dennis M Lewis, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME56099 Issued in FL

Practice address

1116 11TH St SW
Live Oak, FL 32064

Phone

(386) 362-0820

Fax

(386) 362-1817

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WY

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

Specialty

General Surgery

Education

University of Florida College of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivinson Memorial HospitalGroup PAC ID 8325304447, 61 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ivinson Memorial Hospital Hospital, Laramie, WY, CCN 530025

Merit-based Incentive Payment System (MIPS)

Final score

85.68 of 100Reported as group

Quality

75.73

Promoting interoperability

100

Improvement activities

40

Cost

76.55

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ivinson Memorial Hospital

  • Rural Health Clinic/Center
  • Laramie, WY
  • NPI 1033628599
  Medicare reassignment Care Compare group NPD
• Riverton Physician Practices, LLC

  • Emergency Medicine Physician
  • Riverton, WY
  • NPI 1205875614
  Medicare reassignment NPD
• Ivinson Memorial Hospital

  • Rural Acute Care Hospital
  • Laramie, WY
  • NPI 1366626269
  NPD
• Riverton Physician Practices LLC

  • Foot Surgery Podiatrist
  • Riverton, WY
  • NPI 1326377920
  NPD
• Riverton Physician Practices LLC

  • Hematology & Oncology Physician
  • Riverton, WY
  • NPI 1619236791
  NPD
• Ashley Valley Physician Practice LLC

  • Durable Medical Equipment & Medical Supplies
  • Vernal, UT
  • NPI 1457195034
  NPD (past)
• Ashley Valley Physician Practice, LLC

  • Orthopaedic Surgery Physician
  • Vernal, UT
  • NPI 1740482025
  NPD (past)
• Lander Valley Physician Practices, LLC

  • Psychiatry Physician
  • Lander, WY
  • NPI 1215971510
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ivinson Memorial Hospital

  • Rural Acute Care Hospital
  • Laramie, WY
  • NPI 1336289552
  Care Compare affiliation

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1699701524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 11TH ST SW",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320643608",
            "telephone_number": "386-362-0820",
            "fax_number": "386-362-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 11TH ST SW",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "32064",
            "telephone_number": "386-362-0820",
            "fax_number": "386-362-1817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 W 100 N # 102-S",
            "address_purpose": "LOCATION",
            "city": "Vernal",
            "state": "UT",
            "postal_code": "840782036",
            "country_code": "US",
            "telephone_number": "435-781-2162",
            "fax_number": "435-781-2161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1116 11th St SW",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "FL",
            "postal_code": "32064",
            "country_code": "US",
            "telephone_number": "386-362-0820",
            "fax_number": "386-362-1817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1311A N MILDRED RD",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212231",
            "country_code": "US",
            "telephone_number": "970-564-2681",
            "fax_number": "970-564-2682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1311 N Mildred Rd",
            "address_purpose": "LOCATION",
            "city": "Cortez",
            "state": "CO",
            "postal_code": "813212299",
            "country_code": "US",
            "telephone_number": "970-565-6666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DENNIS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WY",
            "license": "5754A",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME56099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01731293",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "JK189Z",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dlewis@swhealth.direct-ci.net",
            "affiliation": "N",
            "endpointDescription": "Southwest Health System - General Surgery",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1311A N MILDRED RD",
            "address_2": "Ste A",
            "city": "CORTEZ",
            "state": "CO",
            "country_code": "US",
            "postal_code": "813212231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melanie Lane Key, ARNP
• Lindsay Kulczynski, DMD
• Jennifer Lacasse
• Joy Lamb, PHARMD
• Lawrence a. Stranch
• Jabari Lewis
• Live Oak Family Practice, LLC
• Live Oak Hma Medical Group, LLC
• Live Oak Hma, LLC
• Live Oak Hma, LLC

• Surgery Physician in Live Oak, FL
• Providers in Live Oak, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.

Verify at the official NPI Registry.