Don Michael Lewis, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G5298 Issued in TX

Practice address

320 W Concho Ave
San Angelo, TX 76903-6309

Phone

(325) 655-4259

Fax

(322) 658-6543

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2021 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dlewis7694@shannonhealth.direct-ci.com

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.

• Daniel J Ladd DO PA

  • Dermatology Physician
  • Austin, TX
  • NPI 1326238296
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1790834208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W CONCHO AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036309",
            "telephone_number": "325-655-4259",
            "fax_number": "322-658-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W CONCHO AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036309",
            "telephone_number": "325-655-4259",
            "fax_number": "322-658-6543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3320 Oakwell Ct",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782183128",
            "country_code": "US",
            "telephone_number": "210-829-5180",
            "fax_number": "210-829-5180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21727 Ih 10 W Ste 202",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782572107",
            "country_code": "US",
            "telephone_number": "210-829-5180",
            "fax_number": "210-829-5030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DON",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G5298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0896474-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "G5298",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert H Legrand, MD
• Caroline Lemke
• Brenden David Lemp
• Miltiadis Leon, MD
• Judy B Lepage, PT
• Liliana Valenzuela Lewis, LPC
• Robert Reed Lewis
• Lewright Family & Cosmetic Dentistry
• Brent Aaron Lewright, D.D.S.
• Jack Lewright Jr., D.D.S.

• Specialist in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.