NPIMap

Individual provider Active NPI

Carlton John Lewis, D.O.

  • Family Medicine Physician
  • Lufkin, TX
National Provider Identifier
1902893928
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K3304 Issued in TX
Practice address
10 Medical Center Blvd
Suite I
Lufkin, TX 75904-3173
Phone
(936) 699-3161
Fax
(936) 699-3162
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K3304 TX Primary

Addresses

Primary practice location

10 Medical Center Blvd
Suite I
Lufkin, TX 75904-3173

Mailing address

10 Medical Center Blvd Ste I
Lufkin, TX 75904-3163

Other identifiers 1

IdentifierTypeStateIssuer
155879301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100623000350 TX Practitioner - Family Practice 7416960760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carlton J Lewis DO PAGroup PAC ID 5890715320, 2 clinicians

Practice addresses (Care Compare)

10 Medical Ctr Blvd
Suite I
Lufkin, TX 75904-3163
Phone (936) 699-3161

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue12
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carlton J Lewis DO PA Family Medicine CurrentSince Jan 1, 2000 Accepting new patients
Liberty County Hospital District No.1 Past Accepting new patients

Locations

10 Medical Center Blvd
Ste I
Lufkin, TX 75904
Phone (936) 699-3161

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGAGBD/Endpoint/CGAGBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CGAGBD

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Southland Rehabilitation and Healthcare CenterLufkin, TX, CCN 675962 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Nov 18, 2015
Nov 18, 2015
Nov 18, 2015
Hospice in the PinesLufkin, TX, CCN 451537 Hospice Corporate Director Mar 24, 2014

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1902893928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MEDICAL CENTER BLVD STE I",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEDICAL CENTER BLVD",
            "address_2": "SUITE I",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043173",
            "telephone_number": "936-699-3161",
            "fax_number": "936-699-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CARLTON",
        "middle_name": "JOHN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K3304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155879301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.