Individual provider Active NPI

Gretchen Ann Lewis, D.O.

  • Family Medicine Physician
  • Iowa City, IA
National Provider Identifier
1881856268
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO-05329 Issued in IA
Practice address
269 North 1St Avenue
Iowa City, IA 52245
Phone
(319) 351-6852
Fax
(319) 688-7565
NPI assigned
Jun 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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 032.0079941 VT
Family Medicine Physician 207Q00000X DO-05329 IA Primary

Addresses

Primary practice location

269 North 1St Avenue
Iowa City, IA 52245

Mailing address

500 East Market Street
Iowa City, IA 52245
Phone (319) 339-0300

Other identifiers 1

IdentifierTypeStateIssuer
036134458MedicaidIA

Other names 1

  • Gretchen Ann Lewis Klein Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
032.0079941VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital, Iowa City, Iowa Current Accepting new patients
Genesis Health System Family Medicine Past Accepting new patients
Genesis Medical Education Foundation Inc Family Medicine Past Accepting new patients

Locations

500 E Market St
Iowa City, IA 52245
Phone (319) 339-0300

Interoperability endpoints

  • Direct secure messaging: gretchenklein@mic.allscriptsdirect.net

Organizations & group practices 3

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": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1881856268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 EAST MARKET STREET",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52245",
            "telephone_number": "319-339-0300",
            "fax_number": "319-339-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 NORTH 1ST AVENUE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52245",
            "telephone_number": "319-351-6852",
            "fax_number": "319-688-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "GRETCHEN",
        "middle_name": "ANN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "032.0079941",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "DO-05329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036134458",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETCHEN",
            "last_name": "KLEIN",
            "middle_name": "ANN LEWIS",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.