Active NPI
Jeffrey R Lewis, M.D.
- Family Medicine Physician
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35051429
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6895 | Other | MI | HPM |
| 000000030933 | Other | OH | ANTHEM WWK |
| 344428256080 | Other | OH | CARESOURCES |
| 4091 | Other | OH | NATIONWIDE |
| 4002483 | Other | OH | AETNA |
| 4002483 | Other | MI | PPOM |
| 142072 | Other | OH | CARE CHOICES |
| 142072 | Other | OH | PRIORITY |
| 000000296936 | Other | OH | ANTHEM CHS |
| 01-04068 | Other | OH | UNITED |
| 0877047 | Medicaid | OH | |
| 1078435002 | Other | OH | CIGNA |
| 344428256 | Other | MI | PHCS |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35051429 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compassion Health Toledo | Current | Accepting new patients | |
| Mercy Health Physicians - North, LLC | Current | Accepting new patients | |
| Mercy Health Physicians-North LLC | Family Medicine | Current | Accepting new patients |
| Compassion Health Toledo | Family Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- Toledo, OH
- NPI 1609000769
-
- Federally Qualified Health Center (FQHC)
- Toledo, OH
- NPI 1154872166
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Toledo, OH
- NPI 1790567766
-
dba Mercy Health - Perrysburg Podiatry
- Customized Equipment (DME)
- Perrysburg, OH
- NPI 1992358766
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Pediatric Cardiology Physician
- Toledo, OH
- NPI 1992748743
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health St Vincent Medical Center
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.