Active NPI
Errol Lewis, MD
- Diagnostic Radiology Physician
- Memphis, TN
National Provider Identifier
1720193105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 17033
- Practice address
- 6019 Walnut Grove
Memphis, TN 38120 - Phone
- (901) 383-8860
- Fax
- (901) 383-1194
- NPI assigned
- Aug 19, 2006
- Last updated
- Sep 25, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 17033 | TN | Primary |
Addresses
Primary practice location
6019 Walnut Grove
Memphis, TN 38120
Mailing address
PO Box 2121
Memphis, TN 38159
Phone (901) 383-8860
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00116597 | Medicaid | MS | |
| 300046946 | Other | TN | MEDICARE RR |
| 300083090 | Other | MS | MEDICARE RR |
| 112901007 | Medicaid | AR | |
| 84845 | Other | AR | BCBS |
| 3193970 | Medicaid | TN | |
| 61464 | Other | TN | BCBS |
| 202505103 | Medicaid | MO |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17033 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Memorial Hospital | Past | Accepting new patients | |
| Neurology Clinic, PC | Past | Accepting new patients | |
| Neurology Clinic, PC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Baptist Memorial Hospital - Collierville Outpatient Pharmacy
- Community/Retail Pharmacy
- Collierville, TN
- NPI 1184319667
-
- Durable Medical Equipment & Medical Supplies
- Cordova, TN
- NPI 1538798558
-
- Neurology Physician
- Cordova, TN
- NPI 1942233952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537833600000",
"number": "1720193105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2121",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38159",
"telephone_number": "901-383-8860",
"fax_number": "901-383-8985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6019 WALNUT GROVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38120",
"telephone_number": "901-383-8860",
"fax_number": "901-383-1194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "ERROL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2018-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "17033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00116597",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "300046946",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "300083090",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112901007",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "84845",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3193970",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "61464",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202505103",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.