Individual provider Active NPI

Lewis Albert Andres, M.D.

  • Plastic Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1902929508
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
40126 Issued in AZ
Practice address
8595 E Bell Rd Ste 103
Scottsdale, AZ 85260-1306
Phone
(480) 275-7800
Fax
(480) 758-4587
NPI assigned
Apr 9, 2007
Last updated
Aug 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 40126 AZ Primary
Plastic and Reconstructive Surgery Physician 2086S0122X 4301080203 MI

Addresses

Primary practice location

8595 E Bell Rd Ste 103
Scottsdale, AZ 85260-1306

Mailing address

PO Box 15040
Scottsdale, AZ 85267-5040
Phone (480) 275-7800

Other identifiers 2

IdentifierTypeStateIssuer
338585MedicaidAZ
P00623664OtherAZRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080710000312 AZ Practitioner - Plastic and Reconstructive Surgery 7416029236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Michigan State University College of Human Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8595 E Bell Rd
Suite 103
Scottsdale, AZ 85260-1306
Phone (480) 275-7800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy55
Melanoma (skin cancer) excision48
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301080203MIMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Andres, MD PLLC Plastic Surgery CurrentSince Sep 25, 2011 Accepting new patients
Arizona Aesthetic Associates Plastic Surgery CurrentSince Sep 4, 2018 Accepting new patients
Advanced Plastic Reconstruction PLLC Plastic and Reconstructive Surgery Past Accepting new patients

Locations

9250 N 3rd St
Ste 1003
Phoenix, AZ 85020
Phone (602) 331-7800

8595 E Bell Rd
Ste 103
Scottsdale, AZ 85260
Phone (480) 275-7800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1902929508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15040",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852675040",
            "telephone_number": "480-275-7800",
            "fax_number": "602-331-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8595 E BELL RD STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601306",
            "telephone_number": "480-275-7800",
            "fax_number": "480-758-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRES",
        "first_name": "LEWIS",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "40126",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MI",
            "license": "4301080203",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "338585",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00623664",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.