Individual provider Active NPI

Donald Ryan Lewis Jr., MD

  • Diagnostic Radiology Physician
  • Huntington, WV
National Provider Identifier
1891772604
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
18979 Issued in WV
Practice address
3448 US Route 60
Huntington, WV 25705-2906
Phone
(304) 522-1550
Fax
(304) 522-0704
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35.080554 OH
Diagnostic Radiology Physician 2085R0202X DO041346 MD
Diagnostic Radiology Physician 2085R0202X 33032 KY
Diagnostic Radiology Physician 2085R0202X 18979 WV Primary

Addresses

Primary practice location

3448 US Route 60
Huntington, WV 25705-2906

Mailing address

PO Box 910
Huntington, WV 25712-0910
Phone (304) 522-1550

Other identifiers 10

IdentifierTypeStateIssuer
2018739MedicaidOH
P00766025OtherKYRR MEDICARE (KY)
000000196333OtherOHUNISON
50007262OtherKYPASSPORT
550493376OtherWVWORKMANS COMP
6494193300MedicaidKY
300081882OtherWVRR MEDICARE (WV)
5389160OtherAETNA
001718777OtherMTN STATE BCBS
012206000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV, KY, MD4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20040204000244 OH Practitioner - Diagnostic Radiology 3678476397 Reassigns benefits to 1 organization
I20051221000438 WV Practitioner - Diagnostic Radiology 3678476397 Reassigns benefits to 3 organizations
I20080123000287 KY Practitioner - Diagnostic Radiology 3678476397 Reassigns benefits to 1 organization
I20230609002632 MD Practitioner - Diagnostic Radiology 3678476397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Maryland School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology IncGroup PAC ID 2365340429, 28 clinicians

Practice addresses (Care Compare)

Easton, MD 21601
Phone 3045221550229

20 Hospital Dr
Logan, WV 25601-3452
Phone (301) 831-1200

2520 Valley Dr
Point Pleasant, WV 25550-2031
Phone (304) 675-4340

2900 1St Ave
Huntington, WV 25702-1241
Phone (304) 526-1140

3448 US Route 60
Huntington, WV 25705-2906
Phone 3045221550229

5897 State RT 7 Three Gable Surgi Ctr
Proctorville, OH 45669
Phone (740) 886-9911

Hospital & facility affiliations

  • St Marys Medical Center Hospital, Huntington, WV, CCN 510007
  • Cabell Huntington Hospital, Inc Hospital, Huntington, WV, CCN 510055
  • Logan Regional Medical Center Hospital, Logan, WV, CCN 510048
  • Rivers Health Hospital, Point Pleasant, WV, CCN 510012
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022

Merit-based Incentive Payment System (MIPS)

Final score
75.95 of 100Reported as group
Quality
67.56
Improvement activities
40
Cost
71.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33032KYMDDiagnostic Radiology Physician
DO041346MDMDDiagnostic Radiology Physician
35.080554OHMDDiagnostic Radiology Physician
18979WVMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Inc Diagnostic Radiology CurrentSince Jul 1, 1997 Accepting new patients
Appalachian Mountains Medical, LLC Diagnostic Radiology CurrentSince Aug 1, 2021 Accepting new patients
Three Gables Surgery Center LLC Current Accepting new patients
Premier Imaging and Intervention, PLLC Diagnostic Radiology CurrentSince Feb 1, 2014 Accepting new patients
Tsohns Inc Current Accepting new patients

Locations

2483 Highway 644
Louisa, KY 41230
Phone (606) 324-4745

105 S Eisenhower Dr
Beckley, WV 25801
Phone (304) 255-6404

223 Dry Hill Rd
Beckley, WV 25801

400 Court St
#303
Charleston, WV 25301
Phone (304) 345-1503

1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960

3448 US Route 60
Huntington, WV 25705
Phone 3045521550 ext. 229

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

454 McDowell St
Welch, WV 24801
Phone (304) 436-8461

Organizations & group practices 5

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1891772604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257120910",
            "telephone_number": "304-522-1550",
            "fax_number": "304-522-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3448 US ROUTE 60",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052906",
            "telephone_number": "304-522-1550",
            "fax_number": "304-522-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DONALD",
        "middle_name": "RYAN",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.080554",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "DO041346",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "33032",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WV",
            "license": "18979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2018739",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE (KY)",
            "identifier": "P00766025",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000196333",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50007262",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKMANS COMP",
            "identifier": "550493376",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6494193300",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE (WV)",
            "identifier": "300081882",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5389160",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MTN STATE BCBS",
            "identifier": "001718777",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012206000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.