NPIMap

Individual provider Active NPI

Charles Lewis, DO

  • Family Medicine Physician
  • Sturgis, SD
National Provider Identifier
1861429201
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1554 Issued in SD
Practice address
890 Lazelle St
Sturgis, SD 57785
Phone
(605) 720-2600
Fax
(605) 720-2611
NPI assigned
Jun 28, 2006
Last updated
Feb 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1554 SD Primary

Addresses

Primary practice location

890 Lazelle St
Sturgis, SD 57785

Mailing address

353 Fairmont Blvd
Atten Medical Staff Services
Rapid City, SD 57701-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20060406000729 SD Practitioner - General Practice 7315977543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 5991616427, 163 clinicians

Practice addresses (Care Compare)

2140 Junction Ave
Sturgis, SD 57785-2358
Phone (605) 720-2400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1554SDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Network, Inc. Family Medicine CurrentSince Apr 1, 2002 Accepting new patients
Monument Health Network, Inc. Current Accepting new patients
Regional Health Network Inc CurrentSince Apr 1, 2002 Accepting new patients

Locations

2140 Junction Ave
Sturgis, SD 57785
Phone (605) 720-2400

890 Lazelle St
Sturgis, SD 57785
Phone (605) 347-3616

Interoperability endpoints

  • Direct secure messaging: clewis.8638@regionalhealth.sdhealthlink.net

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Monument Health Sturgis HospitalSturgis, SD, CCN 431321 Hospital Corporate Director Jul 1, 2022
Monument Health Custer HospitalCuster, SD, CCN 431323 Hospital Corporate Director Jun 3, 2022
Monument Health Spearfish HospitalSpearfish, SD, CCN 430048 Hospital Corporate Director Jun 30, 2022
Monument Health Sturgis HospitalSturgis, SD, CCN 43Z321 Hospital Corporate Director Jul 1, 2022
Monument Health Care CenterSturgis, SD, CCN 435102 Skilled nursing facility Corporate Director Jul 1, 2022
Monument Health Hill City ClinicHill City, SD, CCN 433437 Rural health clinic Corporate Director Jul 1, 2022
Monument Health Belle Fourche ClinicBelle Fourche, SD, CCN 433440 Rural health clinic Corporate Director Jul 1, 2022
Monument Health Hot Springs ClinicHot Springs, SD, CCN 433890 Rural health clinic Corporate Director Jul 1, 2022

Owned or controlled facilities with NPI records 16

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 16

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1861429201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 FAIRMONT BLVD",
            "address_2": "ATTEN MEDICAL STAFF SERVICES",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 LAZELLE ST",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "57785",
            "telephone_number": "605-720-2600",
            "fax_number": "605-720-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CHARLES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "1554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgis, SD

Sources for this page

Verify at the official NPI Registry.