Individual provider Active NPI

Andrew Hamilton Lewis, DO

  • Emergency Medicine Physician
  • Santa Cruz, CA
National Provider Identifier
1861432023
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20A8147 Issued in CA
Practice address
325 Soquel Ave
Santa Cruz, CA 95062-2305
Phone
(831) 239-4331
NPI assigned
Jun 7, 2006
Last updated
Apr 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20A8147 CA Primary
Family Medicine Physician 207Q00000X 20A8147 CA

Addresses

Primary practice location

325 Soquel Ave
Santa Cruz, CA 95062-2305

Mailing address

211 Ladera CT
Santa Cruz, CA 95060-5209
Phone (831) 239-4331

Other practice location 1

211 Ladera Ct
Santa Cruz, CA 95060-5209
Phone (831) 239-4331

Other practice location 2

2161 Delaware Ave Ste B
Santa Cruz, CA 95060-5790
Phone (831) 239-4331

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
I20070907000528 CA Practitioner - Family PracticePractitioner - Emergency Medicine 4880669258 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Michigan State University College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCSF Health Medical FoundationGroup PAC ID 9436239878, 65 clinicians
Salud Para la GenteGroup PAC ID 8729984729, 41 clinicians

Practice addresses (Care Compare)

1665 Dominican Way
Suite 224
Santa Cruz, CA 95065-1515
Phone (831) 246-8772

204 E Beach St
Watsonville, CA 95076-4809
Phone (831) 728-8250

45 Neilson St
Watsonville, CA 95076-2468
Phone (831) 728-8250

747 52ND St
Oakland, CA 94609-1809
Phone (510) 428-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.91 of 100Reported as group
Quality
94.45
Improvement activities
40
Cost
70.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8147CAMDClinical Social Worker
20A8147CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cruzmedmo CurrentSince Sep 28, 2021 Accepting new patients
Salud Para la Gente Current Accepting new patients
Wedgewood Urgent Care, LTD Family Medicine Past Accepting new patients
Santa Cruz Medical Clinic, Inc Family Medicine Past Accepting new patients
Immediate Health Associates Emergency Medicine Past Accepting new patients

Locations

325 Soquel Ave
Santa Cruz, CA 95062
Phone (831) 239-4331

195 Aviation Way
Ste 200
Watsonville, CA 95076

204 E Beach St
Watsonville, CA 95076
Phone (831) 763-3413

45 Nielson St
Watsonville, CA 95076
Phone (831) 761-1588

Interoperability endpoints

  • Direct secure messaging: alewis371702@direct-ucsfmedicalcenter.org

Organizations & group practices 8

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 3

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1861432023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 LADERA CT",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950605209",
            "telephone_number": "831-239-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SOQUEL AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622305",
            "telephone_number": "831-239-4331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Ladera Ct",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950605209",
            "country_code": "US",
            "telephone_number": "831-239-4331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2161 Delaware Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950605790",
            "country_code": "US",
            "telephone_number": "831-239-4331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ANDREW",
        "middle_name": "HAMILTON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A8147",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8147",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.