Individual provider Active NPI

Angela Ricelle Lewis, M.D.

  • Ophthalmology Physician
  • Savoy, IL
National Provider Identifier
1760434138
Registry record updated Jan 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
020628 Issued in LA
Practice address
606 Silver Lake CT
Savoy, IL 61874-7449
Phone
(225) 235-0151
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuro-ophthalmology Physician 207WX0109X 036.133963 IL
Neuro-ophthalmology Physician 207WX0109X 15245 AL
Ophthalmology Physician 207W00000X 020628 LA Primary

Addresses

Primary practice location

606 Silver Lake CT
Savoy, IL 61874-7449

Mailing address

606 Silver Lake CT
Savoy, IL 61874-7449
Phone (225) 235-0151

Other practice location 1

501 N Dunlap Ave
Savoy, IL 61874-8403
Phone (217) 366-1250

Other identifiers 1

IdentifierTypeStateIssuer
1112160MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20050726000183 LA Practitioner - Ophthalmology 8921035593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in New Orleans, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lsuhn Billing LLCGroup PAC ID 0446337802, 203 clinicians

Practice addresses (Care Compare)

2390 W Congress St
Lafayette, LA 70506-4205
Phone (337) 261-6000

Hospital & facility affiliations

  • Ochsner University Hospital and Clinics Hospital, Lafayette, LA, CCN 190006
  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002

Merit-based Incentive Payment System (MIPS)

Final score
96.05 of 100Reported as group
Quality
82.12
Promoting interoperability
100
Improvement activities
40
Cost
71.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15245ALMDPharmacist
020628LAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lsuhn Billing LLC CurrentSince Jan 27, 2021 Accepting new patients
Lsuhn Billing LLC CurrentSince Jan 27, 2021 Accepting new patients
Louisiana Eye Center, Apmc Current Accepting new patients
Gibson Community Hospital Association Ophthalmology Past Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients

Locations

7855 Howell Blvd
Ste 130A
Baton Rouge, LA 70807
Phone (225) 356-2655

5825 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 358-1000

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

324 Dulles Dr
Lafayette, LA 70506

401 Saint Julien Ave
Lafayette, LA 70506
Phone (337) 261-6000

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

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 2

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579910400000",
    "number": "1760434138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 SILVER LAKE CT",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618747449",
            "telephone_number": "225-235-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 SILVER LAKE CT",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618747449",
            "telephone_number": "225-235-0151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 N Dunlap Ave",
            "address_purpose": "LOCATION",
            "city": "Savoy",
            "state": "IL",
            "postal_code": "618748403",
            "country_code": "US",
            "telephone_number": "217-366-1250",
            "fax_number": "217-366-6106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ANGELA",
        "middle_name": "RICELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-01-25",
        "certification_date": "2020-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "IL",
            "license": "036.133963",
            "primary": false
        },
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "AL",
            "license": "15245",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "020628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1112160",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savoy, IL

Sources for this page

Verify at the official NPI Registry.