Individual provider Active NPI

Jeffrey R Lewis, M.D.

  • Family Medicine Physician
  • Toledo, OH
National Provider Identifier
1740286590
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35051429 Issued in OH
Practice address
2051 W Central Ave
Toledo, OH 43606-3948
Phone
(419) 291-2051
Fax
(419) 479-6952
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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 35051429 OH Primary

Addresses

Primary practice location

2051 W Central Ave
Toledo, OH 43606-3948

Mailing address

7045 Lighthouse Way
Perrysburg, OH 43551-7000
Phone (419) 873-6836

Other identifiers 13

IdentifierTypeStateIssuer
6895OtherMIHPM
000000030933OtherOHANTHEM WWK
344428256080OtherOHCARESOURCES
4091OtherOHNATIONWIDE
4002483OtherOHAETNA
4002483OtherMIPPOM
142072OtherOHCARE CHOICES
142072OtherOHPRIORITY
000000296936OtherOHANTHEM CHS
01-04068OtherOHUNITED
0877047MedicaidOH
1078435002OtherOHCIGNA
344428256OtherMIPHCS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20110630000531 OH Practitioner - Family Practice 3971781592 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Toledo Medical College, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians-North LLCGroup PAC ID 2668522400, 131 clinicians

Practice addresses (Care Compare)

2222 Cherry St
Toledo, OH 43608-2675

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35051429OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Compassion Health Toledo CurrentSince Aug 1, 2025 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Jul 31, 2023 Accepting new patients
Mercy Health Physicians-North LLC Family Medicine CurrentSince Jul 31, 2023 Accepting new patients
Compassion Health Toledo Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mercy Health System Northern Past Accepting new patients

Locations

5901 Monclova Rd
Maumee, OH 43537
Phone (419) 893-5911

7045 Lighthouse Way
Perrysburg, OH 43551
Phone (419) 794-9292

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

1638 Broadway St
Toledo, OH 43609
Phone (567) 661-0565

Interoperability endpoints

  • Direct secure messaging: jlewis13667@direct.promedica.org

Organizations & group practices 6

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1740286590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7045 LIGHTHOUSE WAY",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435517000",
            "telephone_number": "419-873-6836",
            "fax_number": "419-873-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 W CENTRAL AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063948",
            "telephone_number": "419-291-2051",
            "fax_number": "419-479-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35051429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPM",
            "identifier": "6895",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM WWK",
            "identifier": "000000030933",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCES",
            "identifier": "344428256080",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONWIDE",
            "identifier": "4091",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4002483",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPOM",
            "identifier": "4002483",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "142072",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY",
            "identifier": "142072",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM CHS",
            "identifier": "000000296936",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "01-04068",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0877047",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1078435002",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "344428256",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.