Individual provider Active NPI

Dennis P Lewis, MD

  • Family Medicine Physician
  • Valencia, CA
National Provider Identifier
1780608190
Registry record updated Aug 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G78417 Issued in CA
Practice address
23823 Valencia Blvd
Suite 160
Valencia, CA 91355-9312
Phone
(661) 254-0026
Fax
(661) 254-1773
NPI assigned
Jul 27, 2006
Last updated
Aug 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2015

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 G78417 CA Primary

Addresses

Primary practice location

23823 Valencia Blvd
Suite 160
Valencia, CA 91355-9312

Mailing address

23823 Valencia Blvd
Suite 160
Valencia, CA 91355-9312
Phone (661) 254-0026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040326001059 CA Practitioner - Family Practice 5496647414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Geffen School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23823 Valencia Blvd
Suite 160
Valencia, CA 91355-2103
Phone (661) 254-0026

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G78417CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis Patrick Lewis,MD, Family Medicine CurrentSince May 29, 2003 Accepting new patients
Jones & Jones Medical Associates Inc. Family Medicine PastSince Jan 11, 2004 Accepting new patients

Locations

23823 Valencia Blvd
Ste 160
Valencia, CA 91355
Phone (661) 254-0026

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1780608190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23823 VALENCIA BLVD",
            "address_2": "SUITE 160",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913559312",
            "telephone_number": "661-254-0026",
            "fax_number": "661-254-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23823 VALENCIA BLVD",
            "address_2": "SUITE 160",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913559312",
            "telephone_number": "661-254-0026",
            "fax_number": "661-254-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DENNIS",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G78417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.