Active NPI
Gary William Lewis, MD
- Cardiovascular Disease Physician
- Indiana, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD040211L
- Practice address
- 1265 Wayne Ave Ste 306
Indiana, PA 15701-3501 - Phone
- (724) 463-9701
- Fax
- (724) 463-9702
- NPI assigned
- Nov 11, 2005
- Last updated
- Apr 13, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD040211L | PA | |
| Cardiovascular Disease Physician | 207RC0000X | D0059982 | MD | |
| Cardiovascular Disease Physician | 207RC0000X | MD040211L | PA | Primary |
Addresses
Primary practice location
1265 Wayne Ave Ste 306
Indiana, PA 15701-3501
Mailing address
640 Kolter Dr
Indiana, PA 15701-3570
Phone (724) 357-7196
Other practice location 1
1842 Meridian Dr
Hagerstown, MD 21742-1232
Phone (717) 377-8355
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110868 | Other | MD | JOHNS HOPKINS HEALTHCARE |
| B3890008 | Other | DC | BC/BS |
| 63366502 | Other | MH | BC/BS |
| 145744300 | Other | US DEPT OF LABOR | |
| 5127062 | Other | MD | AETNA PPO |
| 3536055 | Other | MD | AETNA HMO |
| 867633 | Other | PA | MEDICARE GROUP # |
| 402544000 | Medicaid | MD | |
| 1759448 | Other | MD | UNITED HEALTHCARE |
| 3979804 | Other | MD | CIGNA |
| 1007307260040 | Other | PA | MEDICAID GROUP # |
| 2007547000 | Medicaid | WV | |
| 5121416 | Other | MD | MAMSI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gary.lewis@irmc.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
640 Kolter Dr
Indiana, PA 15701-3570
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.9 of 100
- Quality
- 85.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fayette Physician Network Inc | Current | Accepting new patients | |
| Indiana Healthcare Physician Services Inc | Internal Medicine | Current | Accepting new patients |
| Indiana Healthcare Physician Services, Inc | Current | Accepting new patients | |
| Fayette Physician Network Inc | Internal Medicine | Current | Accepting new patients |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1265 Wayne Ave
Ste 107
Indiana, PA 15701
Phone (724) 349-7980
1265 Wayne Ave
Ste 305
Indiana, PA 15701
Phone (724) 349-3110
1265 Wayne Ave
Ste 306
Indiana, PA 15701
Phone (724) 349-3233
640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196
835 Hospital Rd
Indiana, PA 15701
Phone (724) 357-7000
879 Hospital Rd
Indiana, PA 15701
Phone (724) 349-3031
81 Hillcrest Dr
Punxsutawney, PA 15767
Phone (814) 938-1800
201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940
500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000
Interoperability endpoints
- gary.lewis@irmc.cernerdirect.com
Organizations & group practices 6
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.
-
dba IRMC Physician Group
- Internal Medicine Physician
- Indiana, PA
- NPI 1578523429
-
dba D/B/A Punxsutawney Physician Group
- General Practice Physician
- Punxsutawney, PA
- NPI 1821195033
-
- Family Medicine Physician
- Friendsville, MD
- NPI 1437823044
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Indiana, PA
- NPI 1356334510
-
- Rural Acute Care Hospital
- Indiana, PA
- NPI 1508047630
-
- Rural Acute Care Hospital
- Indiana, PA
- NPI 1659315372
-
- General Acute Care Hospital
- Punxsutawney, PA
- NPI 1265449870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618272000000",
"number": "1871574202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 KOLTER DR",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013570",
"telephone_number": "724-357-7196",
"fax_number": "724-357-7279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 WAYNE AVE STE 306",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013501",
"telephone_number": "724-463-9701",
"fax_number": "724-463-9702"
}
],
"practiceLocations": [
{
"address_1": "1842 Meridian Dr",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "217421232",
"country_code": "US",
"telephone_number": "717-377-8355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "GARY",
"middle_name": "WILLIAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-11",
"last_updated": "2021-04-13",
"certification_date": "2021-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD040211L",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MD",
"license": "D0059982",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD040211L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS HEALTHCARE",
"identifier": "110868",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "B3890008",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "63366502",
"state": "MH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "145744300",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "5127062",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3536055",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "867633",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "402544000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1759448",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3979804",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP #",
"identifier": "1007307260040",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2007547000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "5121416",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gary.lewis@irmc.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Cerner Millennium Direct Messaging Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Messaging",
"address_1": "1265 Wayne Ave Ste 306",
"city": "Indiana",
"state": "PA",
"country_code": "US",
"postal_code": "157013501",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indiana, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.