NPIMap

Individual provider Active NPI

Thomas Wayne Lewis, M.D.

  • Internal Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1841268323
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0068345 Issued in FL
Practice address
1715 37TH PL
Second Floor
Vero Beach, FL 32960-4502
Phone
(772) 794-2222
Fax
(772) 794-0045
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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 ME0068345 FL Primary

Addresses

Primary practice location

1715 37TH PL
Second Floor
Vero Beach, FL 32960-4502

Mailing address

1715 37TH PL
Second Floor
Vero Beach, FL 32960-4502
Phone (772) 794-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090109000377 FL Practitioner - Internal Medicine 6901701671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indian River Primary CareGroup PAC ID 0446152789, 10 clinicians

Practice addresses (Care Compare)

1715 37TH Place
2ND Floor
Vero BCH, FL 32960-4502
Phone (772) 794-2222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions904

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0068345FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indian River Primary Care CurrentSince Mar 1, 1998 Accepting new patients
Post Acute Care Leaders-Florida LLC CurrentSince Jul 26, 2019 Accepting new patients
Mount Sinai Medical Center of Florida, Inc. Past Accepting new patients

Locations

1715 37th Pl
Fl 2
Vero Beach, FL 32960
Phone (772) 567-4336

925 North Point Pkwy
Ste 425
Alpharetta, GA 30005
Phone (678) 593-3332

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HECFAD

Organizations & group practices 3

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 9

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1841268323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 37TH PL",
            "address_2": "SECOND FLOOR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604502",
            "telephone_number": "772-794-2222",
            "fax_number": "772-794-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 37TH PL",
            "address_2": "SECOND FLOOR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604502",
            "telephone_number": "772-794-2222",
            "fax_number": "772-794-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "THOMAS",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0068345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.