Individual provider Active NPI

Dwight E Lewis Jr., M.D.

  • Internal Medicine Physician
  • Cynthiana, KY
National Provider Identifier
1790793164
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23897 Issued in KY
Practice address
1210 Ky Highway 36 E
Suite 1B
Cynthiana, KY 41031-7490
Phone
(859) 234-1173
Fax
(859) 234-1852
NPI assigned
Aug 3, 2006
Last updated
Mar 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23897 KY Primary

Addresses

Primary practice location

1210 Ky Highway 36 E
Suite 1B
Cynthiana, KY 41031-7490

Mailing address

1210 Ky Highway 36 E
Suite 1B
Cynthiana, KY 41031-7490
Phone (859) 234-1173

Other identifiers 1

IdentifierTypeStateIssuer
64238975MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20100325000440 KY Practitioner - Internal Medicine 2466588843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Louisville School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harrison Memorial HospitalGroup PAC ID 8628961018, 21 clinicians
Harrison Memorial HospitalGroup PAC ID 4284784067, 60 clinicians

Practice addresses (Care Compare)

1210 Kentucky Hwy 36E
Cynthiana, KY 41031-7490

1210 Ky Hwy 36 E
Cynthiana, KY 41031-7490
Phone (859) 235-3562

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23897KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison Memorial Hospital CurrentSince Nov 4, 1996 Accepting new patients
Harrison Memorial Hospital CurrentSince Nov 4, 1996 Accepting new patients
Harrison Memorial Hospital Inc CurrentSince Jan 5, 2024 Accepting new patients

Locations

1210 KY Highway 36 E
Cynthiana, KY 41031
Phone (859) 234-2300

1210 KY Highway 36 E
Ste 1B
Cynthiana, KY 41031
Phone (859) 234-1173

1210 KY Highway 36 E
Ste G3
Cynthiana, KY 41031
Phone (859) 234-9222

439 E Pleasant St
Cynthiana, KY 41031
Phone (859) 234-4494

Organizations & group practices 4

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 4

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1790793164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 KY HIGHWAY 36 E",
            "address_2": "SUITE 1B",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410317490",
            "telephone_number": "859-234-1173",
            "fax_number": "859-234-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 KY HIGHWAY 36 E",
            "address_2": "SUITE 1B",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410317490",
            "telephone_number": "859-234-1173",
            "fax_number": "859-234-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DWIGHT",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "23897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64238975",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cynthiana, KY

Sources for this page

Verify at the official NPI Registry.