Individual provider Active NPI

Gideon Jawaharlal Lewis, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Winter Park, FL
National Provider Identifier
1871572206
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3239 Issued in FL
Practice address
650 N Wymore Rd
Suite 202
Winter Park, FL 32789-2859
Phone
(407) 647-0199
Fax
(407) 647-0213
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO3239 FL
Primary Podiatric Medicine Podiatrist 213EP1101X PO3239 FL
Radiology Podiatrist 213ER0200X PO3239 FL
Sports Medicine Podiatrist 213ES0000X PO3239 FL
Foot & Ankle Surgery Podiatrist 213ES0103X PO3239 FL Primary

Addresses

Primary practice location

650 N Wymore Rd
Suite 202
Winter Park, FL 32789-2859

Mailing address

650 N Wymore Rd
Suite 202
Winter Park, FL 32789-2859
Phone (407) 647-0199

Other identifiers 4

IdentifierTypeStateIssuer
7530981OtherFLCIGNA
7581866OtherFLAETNA
PO3239OtherFLLICENSE
P00423470OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060824000237 FL Practitioner - Podiatry 1254334683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
DRS Lewis and Lewis PAGroup PAC ID 1456354885, 2 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

650 N Wymore Rd
Winter Park, FL 32789-2859
Phone (407) 647-0199

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue20
Removal of skin lesions66
Removal of nail tissue69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Lewis and Lewis, P.a. Podiatrist CurrentSince Jul 1, 2006 Accepting new patients

Locations

650 N Wymore Rd
Ste 201
Winter Park, FL 32789
Phone (407) 647-6671

650 N Wymore Rd
Ste 202
Winter Park, FL 32789
Phone (407) 647-0199

Interoperability endpoints

  • Direct secure messaging: gideonjlewisdpm@5d839b4d.micromddirect.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1871572206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N WYMORE RD",
            "address_2": "SUITE 202",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892859",
            "telephone_number": "407-647-0199",
            "fax_number": "407-647-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N WYMORE RD",
            "address_2": "SUITE 202",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892859",
            "telephone_number": "407-647-0199",
            "fax_number": "407-647-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "GIDEON",
        "middle_name": "JAWAHARLAL",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3239",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO3239",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "FL",
            "license": "PO3239",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "FL",
            "license": "PO3239",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7530981",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7581866",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PO3239",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00423470",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.