Charles Lewis, DO
Individual provider Active NPI Family Medicine Physician · Sturgis, SD
NPI 1861429201 · NPPES record last updated Feb 5, 2013
Key facts
- NPI
- 1861429201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 1554 (SD)
- Practice address
- 890 Lazelle St
Sturgis, SD 57785 - Phone
- (605) 720-2600
- Fax
- (605) 720-2611
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 2
Owned or controlled facilities with NPI records 16
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Monument Health Network Inc
Practice addresses (Care Compare)
2140 Junction Ave
Sturgis, SD 57785-2358
Phone (605) 720-2400
Hospital & facility affiliations
- Monument Health Sturgis Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 8
| Facility | Type | Role | Since |
|---|---|---|---|
| Monument Health Sturgis Hospital |
Hospital | Corporate Director | Jul 1, 2022 |
| Monument Health Custer Hospital |
Hospital | Corporate Director | Jun 3, 2022 |
| Monument Health Spearfish Hospital |
Hospital | Corporate Director | Jun 30, 2022 |
| Monument Health Sturgis Hospital |
Hospital | Corporate Director | Jul 1, 2022 |
| Monument Health Care Center |
Skilled nursing facility | Corporate Director | Jul 1, 2022 |
| Monument Health Hill City Clinic |
Rural health clinic | Corporate Director | Jul 1, 2022 |
| Monument Health Belle Fourche Clinic |
Rural health clinic | Corporate Director | Jul 1, 2022 |
| Monument Health Hot Springs Clinic |
Rural health clinic | Corporate Director | Jul 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060406000729 | SD | Practitioner - General Practice | 7315977543 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monument Health Network, Inc. | Current | Accepting new patients | |
| Regional Health Network Inc | Current |
Accepting new patients | |
| Monument Health Network, Inc. | Family Medicine | Current |
Accepting new patients |
Locations
890 Lazelle St
Sturgis, SD 57785
Phone (605) 347-3616
2140 Junction Ave
Sturgis, SD 57785
Phone (605) 720-2400
Interoperability endpoints
- clewis.8638@regionalhealth.sdhealthlink.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1554 | SD | Yes |
Addresses
Primary practice location
890 Lazelle St
Sturgis, SD 57785
Mailing address
353 Fairmont Blvd
Atten Medical Staff Services
Rapid City, SD 57701-6000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00401797 | Other | SD | RR MEDICARE |
Other providers in Sturgis, SD
- Cathy Lynn Kuenzel
- Angela Michele Lane
- David Lauer
- Kristen M Legner
- Latrisha M Lehto
- Sarah Jane Lewis
- Janet Liedtke
- Jill Liming
- Lisa Lundstrom Chiropractic PC
- Soren Loftus
All providers in Sturgis, SD · Family Medicine Physician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.