Chad E Lewis, MD

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

M0150 Issued in TX

Practice address

1617 4TH Ave
Canyon, TX 79015-3824

Phone

(806) 452-7221

Fax

(806) 452-7231

NPI assigned

Mar 20, 2006

Last updated

Oct 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, OK2 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

Specialty

General SurgeryAlso: 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 PAGroup PAC ID 9931446481, 44 clinicians

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Acute Care Surgical Affiliates of Texas PA

  • Surgery Physician
  • Corpus Christi, TX
  • NPI 1407322415
  Medicare reassignment Care Compare group NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment NPD
• Emergency Staffing Solutions of West Texas LLC

  • Emergency Medicine Physician
  • Levelland, TX
  • NPI 1033593504
  Medicare reassignment NPD
• Ess of Lubbock, LLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1174255251
  Medicare reassignment NPD
• Ess of South Texas LLC

  • Emergency Medicine Physician
  • Liberty, TX
  • NPI 1295128247
  Medicare reassignment NPD
• Seminole Hospital District of Gaines County Texas

  dba Memorial Hospital

  • Critical Access Hospital
  • Seminole, TX
  • NPI 1821025990
  Medicare reassignment NPD
• Acute Care Surgery of South Dakota PC

  • Orthopaedic Surgery Physician
  • Rapid City, SD
  • NPI 1730797184

  OK

  Medicare reassignment NPD
• Arbuckle Memorial Hospital

  • Critical Access Hospital
  • Sulphur, OK
  • NPI 1700869492
  Medicare reassignment NPD
• HCC Duncan Inc

  • Hospitalist Physician
  • Duncan, OK
  • NPI 1013153543
  Medicare reassignment NPD
• O&W Surgical PLLC

  • Colon & Rectal Surgery Physician
  • Canyon, TX
  • NPI 1659915254
  Authorized official Same address or phone
• Chad E Lewis MD a Professional Medical Corporation

  • Colon & Rectal Surgery Physician
  • Minden, LA
  • NPI 1487970778
  NPD (past) Authorized official

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

• Tenet Hospitals Limited

  dba The Hospitals of Providence Transmountain Campus

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1538522412
  Care Compare affiliation
• Tenet Hospitals Limited

  dba The Hospitals of Providence Memorial Campus

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1700801909
  Care Compare affiliation

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1871552869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 4TH AVE # 207",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790154030",
            "telephone_number": "806-452-7221",
            "fax_number": "806-452-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 4TH AVE",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790153824",
            "telephone_number": "806-452-7221",
            "fax_number": "806-452-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CHAD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "MD203738",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M0150",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "49193",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "LA",
            "license": "MD203738",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TN",
            "license": "49193",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "M0150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Elizabeth Knapp, RN, FNP
• Kaytlin Krutsch, PHARMD
• Jennifer Michelle Lale, RN
• Toni D Lambert, FNP
• Jennifer Leheska, PHD, RD, LD
• Gloria Lewis, FNP
• Stephanie Suzanne Macklin, FNP
• Renee Marie
• Tori I Marnell, MD
• Candy C Marshall, CFNP

• Colon & Rectal Surgery Physician in Canyon, TX
• Providers in Canyon, TX by specialty
• Colon & Rectal Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.