Michelle D Lewis, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

53110-020 Issued in WI

Practice address

3935 N. Lightning Drive
Appleton, WI 54913-7890

Phone

(920) 968-1790

Fax

(920) 968-1794

NPI assigned

Jul 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Michelle D Janoff Former name

Electronic endpoints 4

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Dermatology

Education

Un of California, Irvine, College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michelle.lewis@forefrontdermatology.emadirect.md

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.

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Appleton, WI
  • NPI 1083768253
  Medicare reassignment Care Compare group NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Neenah, WI
  • NPI 1730347519
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Manitowoc, WI
  • NPI 1578515904
  NPD (past)
• David S. Pomerantz MD Inc

  • Dermatology Physician
  • Pawtucket, RI
  • NPI 1497780993
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1801802046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-686-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 N. LIGHTNING DRIVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137890",
            "telephone_number": "920-968-1790",
            "fax_number": "920-968-1794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Crooks Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Kaukauna",
            "state": "WI",
            "postal_code": "541303900",
            "country_code": "US",
            "telephone_number": "920-581-5561",
            "fax_number": "920-785-5511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2351 State Road 44",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "549046333",
            "country_code": "US",
            "telephone_number": "920-651-8855",
            "fax_number": "920-385-0287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1620 N Shawano St Ste C",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "WI",
            "postal_code": "549619318",
            "country_code": "US",
            "telephone_number": "920-982-3870",
            "fax_number": "920-982-3697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MICHELLE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "53110-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "53730-020",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Michelle.Lewis@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2351 State Road 44",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549046333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Michelle.Lewis@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1620 N Shawano St Ste C",
            "city": "New London",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549619318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Michelle.Lewis@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "3935 N. Lightning Drive",
            "city": "Appleton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549137890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Michelle.Lewis@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2700 Crooks Ave Ste 101",
            "city": "Kaukauna",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541303900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "JANOFF",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew D Leung, DO, MA
• Leonard Leveille, MD
• Thomas Joseph Lewandowski, MD
• Natalie JV Lewellyn, LCSW
• Kailagh Lewis, LPC
• Pamela R Lewis, NP
• Leyes Robers Dental LLC
• Katherine A Leyes
• Lynn Lichterman
• David Albert Liebelt, M.D., PH.D.

• Dermatology Physician in Appleton, WI
• Providers in Appleton, WI by specialty
• Dermatology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.