Individual provider Active NPI

Margie Aileen Gerena-Lewis, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Massillon, OH
National Provider Identifier
1801852728
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
35.081831 Issued in OH
Practice address
3545 Lincoln Way E Ste B
Massillon, OH 44646-8624
Phone
(513) 834-7063
NPI assigned
Apr 21, 2006
Last updated
Nov 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 35.081831 OH Primary
Medical Oncology Physician 207RX0202X 35081831 OH

Addresses

Primary practice location

3545 Lincoln Way E Ste B
Massillon, OH 44646-8624

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Other practice location 1

999 N Main St
Akron, OH 44310-1456
Phone (513) 834-7063

Other practice location 2

115 S Wooster Ave
Dover, OH 44622-1944
Phone (866) 934-7450

Other identifiers 5

IdentifierTypeStateIssuer
4047832MedicaidTN
2506309MedicaidOH
P00894855OtherOHRAILROAD MEDICARE
200099490MedicaidIN
64084502MedicaidKY

Other names 1

  • Dr. Margie Aileen Gerena Rosario Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20221122003265 OH Practitioner - Internal Medicine 9537135942 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35081831OHMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brightview LLC CurrentSince Jul 14, 2022 Accepting new patients
Theoria Medical CurrentSince Apr 14, 2025 Accepting new patients
Brightview, LLC Addiction Medicine CurrentSince Aug 31, 2022 Accepting new patients
The Metrohealth System Current Accepting new patients
Brightview LLC Addiction Medicine CurrentSince Jul 14, 2022 Accepting new patients
University Internal Medicine Associates, Inc. Medical Oncology Past Accepting new patients
University Hematology Oncology Care, Inc. Medical Oncology Past Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

999 N Main St
Akron, OH 44310
Phone (330) 929-2694

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

615 Elsinore Pl
Ste 200
Cincinnati, OH 45202
Phone (513) 639-2800

6527 Colerain Ave
Cincinnati, OH 45239
Phone (513) 385-5000

115 S Wooster Ave
Dover, OH 44622
Phone (330) 365-2135

150 Omni Lake Pkwy
Hudson, OH 44236
Phone (234) 284-4504

3545 Lincoln Way E
Ste B
Massillon, OH 44646
Phone 3308308740 ext. 312

1030 High St
Worthington, OH 43085
Phone (614) 876-7356

Interoperability endpoints

  • Direct secure messaging: mgerenalewis203901@direct.metrohealth.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1801852728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 LINCOLN WAY E STE B",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468624",
            "telephone_number": "513-834-7063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "999 N Main St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443101456",
            "country_code": "US",
            "telephone_number": "513-834-7063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 S Wooster Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "OH",
            "postal_code": "446221944",
            "country_code": "US",
            "telephone_number": "866-934-7450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERENA-LEWIS",
        "first_name": "MARGIE",
        "middle_name": "AILEEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35.081831",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "OH",
            "license": "35081831",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4047832",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2506309",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00894855",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200099490",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64084502",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGIE",
            "last_name": "GERENA ROSARIO",
            "middle_name": "AILEEN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.