NPIMap

Individual provider Active NPI

Annisa L Lewis, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
National Provider Identifier
1720224801
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
24019 Issued in MS
Practice address
1140 Business Center Dr
Suite 370
Houston, TX 77043-2737
Phone
(713) 271-4133
NPI assigned
Dec 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X N8536 TX
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 24019 MS Primary

Addresses

Primary practice location

1140 Business Center Dr
Suite 370
Houston, TX 77043-2737

Mailing address

5700 Southwyck Blvd
Toledo, OH 43614-1509
Phone (713) 271-4133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140506000019 TX Practitioner - Pathology 2365675907 Reassigns benefits to 1 organization
I20180625003351 OR Practitioner - Pathology 2365675907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Texas Medical Branch at Galveston, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Pathology Services PCGroup PAC ID 2062408529, 5 clinicians

Practice addresses (Care Compare)

3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 768-5026

Hospital & facility affiliations

  • Good Samaritan Regional Medical Center Hospital, Corvallis, OR, CCN 380014
  • Samaritan Pacific Community Hospital Hospital, Newport, OR, CCN 381314
  • Samaritan Albany General Hospital Hospital, Albany, OR, CCN 380022
  • Samaritan North Lincoln Hospital Hospital, Lincoln City, OR, CCN 381302
  • Samaritan Lebanon Community Hospital Hospital, Lebanon, OR, CCN 381323

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24019MSMDAnatomic Pathology & Clinical Pathology Physician
N8536TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mangini, Lakhia and Associates, P.a. Anatomic Pathology & Clinical Pathology CurrentSince Feb 15, 2014 Accepting new patients
Valley Pathology Services PC Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2018 Accepting new patients
Gulf Coast Pathology Program PLLC Anatomic Pathology & Clinical Pathology Current Accepting new patients
Baylor College of Medicine Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2016 Accepting new patients
Baylor College of Medicine Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906

1115 Avenue G
Bay City, TX 77414
Phone (979) 245-6383

1140 Business Center Dr
Ste 370
Houston, TX 77043
Phone (713) 271-4133

481 Ih 45 S
Ste 7
Huntsville, TX 77340
Phone (409) 291-9704

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

Organizations & group practices 5

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.

Hospital & facility affiliations 74

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

View all 74

NPI Registry JSON

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1720224801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SOUTHWYCK BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141509",
            "telephone_number": "713-271-4133",
            "fax_number": "713-793-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BUSINESS CENTER DR",
            "address_2": "SUITE 370",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770432737",
            "telephone_number": "713-271-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ANNISA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-19",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "N8536",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MS",
            "license": "24019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.