Individual provider Active NPI

Ilene Castille Lewis, MD

  • Anesthesiology Physician
  • Belleville, IL
National Provider Identifier
1760641930
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036176532 Issued in IL
Practice address
4500 Memorial Dr
Belleville, IL 62226-5399
Phone
(618) 233-7750
NPI assigned
Jun 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD2019-0155 NM
Anesthesiology Physician 207L00000X 036176532 IL Primary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X MD2019-0155 NM
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 036176532 IL

Addresses

Primary practice location

4500 Memorial Dr
Belleville, IL 62226-5399

Mailing address

800 Bradbury Dr SE Ste 116
Albuquerque, NM 87106-4310
Phone (505) 272-1476

Other practice location 1

100 Entrance Way
Saint Peters, MO 63376-1645
Phone (636) 916-9000

Other practice location 2

1501 San Pedro Dr SE
Albuquerque, NM 87108-5153
Phone (505) 265-1711 ext. 4261

Other practice location 3

10 Hospital Dr
Saint Peters, MO 63376-1659
Phone (636) 916-9000

Other practice location 4

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 272-2610

Other practice location 5

1404 Cross St
Shiloh, IL 62269-2988
Phone (618) 607-1000

Other identifiers 1

IdentifierTypeStateIssuer
1760641930MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address UNMH@direct.health.unm.edu
Direct Messaging Address UNMMG@direct.health.unm.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, AR, IL, MO, FL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20221007001991 NM Practitioner - AnesthesiologyPractitioner - Critical Care (Intensivists)Practitioner - Emergency Medicine 9335383843 Reassigns benefits to 2 organizations
I20250912001965 AR Practitioner - Anesthesiology 9335383843
I20251119001564 IL Practitioner - Anesthesiology 9335383843 Reassigns benefits to 1 organization
I20251216004280 MO Practitioner - Anesthesiology 9335383843 Reassigns benefits to 1 organization
I20260217002231 FL Practitioner - Anesthesiology 9335383843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Anesthesia Providers SCGroup PAC ID 9830480581, 180 clinicians
Unm Medical Group IncGroup PAC ID 4981795267, 1,052 clinicians

Practice addresses (Care Compare)

100 Entrance Way
Saint Peters, MO 63376-1645
Phone (314) 949-0000

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 272-2111

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 233-7750

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.64 of 100Reported as group
Quality
75.49
Promoting interoperability
100
Improvement activities
40
Cost
76.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036176532ILMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Mar 1, 2026 Accepting new patients
Unm Medical Group Inc CurrentSince Apr 24, 2024 Accepting new patients
Midwest Anesthesia Providers S.C Anesthesiology CurrentSince Oct 1, 2025 Accepting new patients
Roswell Clinic Corp CurrentSince Dec 1, 2022 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Mar 1, 2026 Accepting new patients
Unm Medical Group, Inc. CurrentSince Apr 24, 2024 Accepting new patients
Roswell Clinic Corp CurrentSince Dec 1, 2022 Accepting new patients
Ans Services of Arkansas PA Anesthesiology CurrentSince Sep 1, 2025 Accepting new patients

Locations

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

4700 Memorial Dr
Ste 230
Belleville, IL 62226
Phone (618) 212-4414

1404 Cross St
Shiloh, IL 62269
Phone (618) 607-1000

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000

100 Entrance Way
Ofc
Saint Peters, MO 63376

100 Entrance Way
Saint Peters, MO 63376
Phone (363) 916-7140

10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522

800 Bradbury Dr SE
Ste 116
Albuquerque, NM 87106
Phone (505) 272-1476

601 W Country Club Rd
Ste 101
Roswell, NM 88201
Phone (575) 622-8170

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 500-1254

Organizations & group practices 8

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 3

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": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1760641930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BRADBURY DR SE STE 116",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064310",
            "telephone_number": "505-272-1476",
            "fax_number": "505-272-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MEMORIAL DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265399",
            "telephone_number": "618-233-7750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Entrance Way",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633761645",
            "country_code": "US",
            "telephone_number": "636-916-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 San Pedro Dr SE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871085153",
            "country_code": "US",
            "telephone_number": "505-265-1711 x4261",
            "fax_number": "505-767-6051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633761659",
            "country_code": "US",
            "telephone_number": "636-916-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2211 Lomas Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871062719",
            "country_code": "US",
            "telephone_number": "505-272-2610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1404 Cross St",
            "address_purpose": "LOCATION",
            "city": "Shiloh",
            "state": "IL",
            "postal_code": "622692988",
            "country_code": "US",
            "telephone_number": "618-607-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ILENE",
        "middle_name": "CASTILLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NM",
            "license": "MD2019-0155",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036176532",
            "primary": true
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "NM",
            "license": "MD2019-0155",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "IL",
            "license": "036176532",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760641930",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UNMH@direct.health.unm.edu",
            "affiliation": "N",
            "address_1": "2211 Lomas Blvd NE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871062719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UNMMG@direct.health.unm.edu",
            "affiliation": "N",
            "address_1": "800 Bradbury Dr SE Ste 116",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871064310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.