Individual provider Active NPI

Megan Ewing Lewis, MD

  • Family Medicine Physician
  • South Fork, CO
National Provider Identifier
1861552960
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
98-315 Issued in NM
Practice address
52 Jackson Street
South Fork, CO 81154
Phone
(719) 873-5494
Fax
(719) 873-5488
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 42313 CO
Family Medicine Physician 207Q00000X 98-315 NM Primary

Addresses

Primary practice location

52 Jackson Street
South Fork, CO 81154

Mailing address

52 Jackson Street
South Fork, CO 81154
Phone (719) 873-5494

Other identifiers 1

IdentifierTypeStateIssuer
9000138971MedicaidCO

Other names 1

  • Megan Ewing Lewis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040514001165 CO Practitioner - Family Practice 7012907686 Reassigns benefits to 1 organization
I20120925000498 NM Practitioner - Family Practice 7012907686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.97 of 100Reported as group
Quality
79.73
Promoting interoperability
100
Improvement activities
40
Cost
78.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42313COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Citizens' Foundation for Health Care Inc CurrentSince Sep 2, 2025 Accepting new patients
San Juan Regional Medical Center Inc Family Medicine CurrentSince Aug 30, 2018 Accepting new patients
San Juan Regional Medical Center Inc Family Medicine CurrentSince Aug 30, 2018 Accepting new patients
San Juan Regional Medical Center Inc Current Accepting new patients
Mountain View Family Healthcare PC Family Medicine Past Accepting new patients
Valley-Wide Health Systems, Inc. Past Accepting new patients
Milestone Medical Group Inc Past Accepting new patients

Locations

310 County Road 14
Unit C
Del Norte, CO 81132
Phone (719) 657-2418

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

1033 2nd Ave
Monte Vista, CO 81144
Phone (719) 852-8827

52 Jackson St
South Fork, CO 81154
Phone (719) 873-5494

4820 E Main St
Farmington, NM 87402
Phone (505) 326-0459

2300 E 30th St
Ste C2
Farmington, NM 87401
Phone (505) 324-1000

4820 E Main St
Ste 2
Farmington, NM 87402
Phone (505) 609-6610

407 S Schwartz Ave
Ste 202
Farmington, NM 87401
Phone (505) 609-6595

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1861552960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 JACKSON STREET",
            "city": "SOUTH FORK",
            "state": "CO",
            "postal_code": "81154",
            "telephone_number": "719-873-5494",
            "fax_number": "719-837-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 JACKSON STREET",
            "city": "SOUTH FORK",
            "state": "CO",
            "postal_code": "81154",
            "telephone_number": "719-873-5494",
            "fax_number": "719-873-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MEGAN",
        "middle_name": "EWING",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "42313",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "98-315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000138971",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "LEWIS",
            "middle_name": "EWING",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Fork, CO

Sources for this page

Verify at the official NPI Registry.