Individual provider Active NPI

Lewit Worrell, MD

  • Otolaryngology Physician
  • San Dimas, CA
National Provider Identifier
1821167933
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A067787 Issued in CA
Practice address
1334 W Covina Blvd Ste 101
San Dimas, CA 91773-3211
Phone
(909) 599-6611
Fax
(909) 599-8390
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A067787 CA Primary

Addresses

Primary practice location

1334 W Covina Blvd Ste 101
San Dimas, CA 91773-3211

Mailing address

PO Box 2728
Covina, CA 91722-8728
Phone (909) 592-2078

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
I20040628001326 CA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 1052397262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Loma Linda University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1334 W Covina Ave
Suite 101
San Dimas, CA 91773-3211
Phone (909) 599-6611

Hospital & facility affiliations

  • San Dimas Community Hospital Hospital, San Dimas, CA, CCN 050588

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A067787CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lewit Worrell MD Inc CurrentSince Nov 1, 2007 Accepting new patients
Leon Bachoura, M.D., Inc. Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
ENT Surgical Associates Otolaryngology Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients

Locations

1334 W Covina Blvd
Ste 101
San Dimas, CA 91773
Phone (909) 599-6611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1821167933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2728",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917228728",
            "telephone_number": "909-592-2078",
            "fax_number": "909-592-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 W COVINA BLVD STE 101",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733211",
            "telephone_number": "909-599-6611",
            "fax_number": "909-599-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORRELL",
        "first_name": "LEWIT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A067787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

Verify at the official NPI Registry.