NPIMap

Chad E Lewis, MD

Individual provider Active NPI Colon & Rectal Surgery Physician · Canyon, TX

NPI 1871552869 · NPPES record last updated Oct 6, 2020

Key facts

NPI
1871552869
Entity type
Individual (NPI type 1)
Primary specialty
Colon & Rectal Surgery Physician 208C00000X
License
M0150 (TX)
Practice address
1617 4TH Ave
Canyon, TX 79015-3824
Phone
(806) 452-7221
Fax
(806) 452-7231
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 15

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 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
General Surgery
Also: Colorectal Surgery (Proctology), Emergency Medicine
Education
Indiana University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acute Care Surgical Affiliates of Texas PA (44 clinicians)

Practice addresses (Care Compare)

2001 N Oregon St
El Paso, TX 79902-3320
Phone (915) 320-3393

600 Elizabeth St
Christus Spohn Hospital Corpus Christi Shor
Corpus Christi, TX 78404-2235
Phone (361) 881-3000

Hospital & facility affiliations

  • The Hospitals of Providence - Memorial Campus Hospital · El Paso, TX · CCN 450002
  • The Hospitals of Providence Transmountain Campus Hospital · El Paso, TX · CCN 670120

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in TX, OK
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050701000747 TX Practitioner - General Surgery
Practitioner - Colorectal Surgery (Proctology)
Practitioner - Emergency Medicine		 5496791238 Reassigns benefits to 7 organizations
I20231016000282 OK Practitioner - General Surgery 5496791238 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD203738LAMDSurgery Physician
49193TNMDSurgery Physician
M0150TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC Current
since Jun 2, 2018		 Accepting new patients
HCC Duncan Inc Current
since Dec 1, 2024		 Accepting new patients
Ess of South Texas LLC Current
since May 1, 2016		 Accepting new patients
Emergency Staffing Solutions of West Texas LLC Current
since Dec 2, 2015		 Accepting new patients
Seminole Hospital District of Gaines County Texas Current
since Jan 1, 2016		 Accepting new patients
Acute Care Surgical Affiliates of Texas PA Surgery Current
since Oct 1, 2023		 Accepting new patients
Arbuckle Memorial Hospital Current Accepting new patients
Acute Care Surgery of South Dakota PC Current
since Oct 15, 2023		 Accepting new patients
Ess of Lubbock, LLC Current
since Nov 1, 2022		 Accepting new patients
Seminole Hospital District of Gaines County Texas Current
since Jan 1, 2016		 Accepting new patients
Concord Medical Group PLLC Current
since Jun 2, 2018		 Accepting new patients
O&W Surgical PLLC Surgery Past
since Oct 11, 2020		 Accepting new patients
Chad E Lewis MD a Professional Medical Corporation Colon & Rectal Surgery Past
since May 24, 2010		 Accepting new patients
Clifton L. Cox II M D P a Colon & Rectal Surgery Past Accepting new patients
Tenet Hospitals Limited Past Accepting new patients

Locations

165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435

1407 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-8458

110 NW 31st St
Fl 3
Lawton, OK 73505
Phone (580) 250-5200

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

2011 W Broadway Ave
Sulphur, OK 73086
Phone (580) 622-2161

100 Medical Dr
Borger, TX 79007
Phone (806) 273-1100

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

2101 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

3270 Joe Battle Blvd
Ste 360
El Paso, TX 79938
Phone (915) 538-4400

387 W Interstate 10
Fort Stockton, TX 79735
Phone (432) 336-2004

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1900 College Ave
Levelland, TX 79336
Phone (806) 894-3141

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

4810 N Loop 289
Lubbock, TX 79416
Phone (806) 687-7777

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

2323 Texas St
Pecos, TX 79772
Phone (432) 447-3551

2349 Medical Dr
Pecos, TX 79772
Phone (432) 447-0565

209 NW 8th St
Seminole, TX 79360
Phone (432) 758-5811

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22123/brand/1/csg/1/fhir/r4
  • Direct secure messaging: clewis321203@ahs.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD203738 LA
Surgery Physician 208600000X M0150 TX
Surgery Physician 208600000X 49193 TN
Colon & Rectal Surgery Physician 208C00000X MD203738 LA
Colon & Rectal Surgery Physician 208C00000X 49193 TN
Colon & Rectal Surgery Physician 208C00000X M0150 TX Yes

Addresses

Primary practice location

1617 4TH Ave
Canyon, TX 79015-3824

Mailing address

2200 4TH Ave # 207
Canyon, TX 79015-4030
Phone (806) 452-7221

Other identifiers

IdentifierTypeStateIssuer
1969552MedicaidTX
2119893MedicaidLA

Other providers in Canyon, TX

All providers in Canyon, TX · Colon & Rectal Surgery Physician in Texas

Sources for this page

Verify at the official NPI Registry.