Active NPI
Mitchell L Lewis, MD
- Emergency Medicine Physician
- Platteville, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 50980-20
- Practice address
- 1400 Eastside Rd
Platteville, WI 53818-9800 - Phone
- (608) 348-2331
- NPI assigned
- May 6, 2006
- Last updated
- Nov 23, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 50980-20 | WI | Primary |
| Emergency Medicine Physician | 207P00000X | 35977 | CO |
Addresses
Primary practice location
1400 Eastside Rd
Platteville, WI 53818-9800
Mailing address
1400 Eastside Rd
Platteville, WI 53818-9800
Phone (608) 348-2331
Other practice location 1
202 S Park Street
Madison, WI 53715
Phone (608) 267-6000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MLEWIS261398@DIRECT-EHR-SSMHC.COM | Direct | Southwest Health Center, Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35977 | CO | MD | Emergency Medicine Physician |
| 50980-20 | WI | MD | Emergency Medicine Physician |
Practice roles
Locations
29980 Network Pl
Chicago, IL 60673
112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331
202 S Park St
Madison, WI 53715
Phone (608) 267-6000
601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511
1400 Eastside Rd
Platteville, WI 53818
Phone (608) 342-4712
2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598
900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257
Interoperability endpoints
- mlewis261398@direct-ehr-ssmhc.com
Organizations & group practices 16
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 Aspirus Merrill Hospital
- Critical Access Hospital
- Merrill, WI
- NPI 1124084678
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
Emergency Medicine
-
dba Aspirus Divine Savior Hospital
- General Acute Care Hospital
- Portage, WI
- NPI 1124083894
Emergency Medicine
-
dba Aspirus Elcho Clinic
- Rural Health Clinic/Center
- Elcho, WI
- NPI 1831251040
-
- Critical Access Hospital
- Antigo, WI
- NPI 1639187412
Emergency Medicine
-
- Critical Access Hospital
- Platteville, WI
- NPI 1831279793
-
dba Aspirus Gilman Clinic
- Rural Health Clinic/Center
- Gilman, WI
- NPI 1285703173
-
dba Aspirus Medford Hospital
- Critical Access Hospital
- Medford, WI
- NPI 1619079597
-
dba Aspirus Rhinelander Clinic
- Clinic/Center
- Rhinelander, WI
- NPI 1679757751
-
dba Aspirus Merrill Hospital
- Medicare Defined Swing Bed Hospital Unit
- Merrill, WI
- NPI 1407096266
-
dba Aspirus Behavioral Health Clinic - Stevens Point - Prentice St
- Clinic/Center
- Stevens Point, WI
- NPI 1679706022
-
dba Aspirus Portage Clinic
- Rural Health Clinic/Center
- Portage, WI
- NPI 1386154417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1912956137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 EASTSIDE RD",
"city": "PLATTEVILLE",
"state": "WI",
"postal_code": "538189800",
"telephone_number": "608-348-2331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 EASTSIDE RD",
"city": "PLATTEVILLE",
"state": "WI",
"postal_code": "538189800",
"telephone_number": "608-348-2331"
}
],
"practiceLocations": [
{
"address_1": "202 S Park Street",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "53715",
"country_code": "US",
"telephone_number": "608-267-6000",
"fax_number": "608-267-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "MITCHELL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-06",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "50980-20",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "35977",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MLEWIS261398@DIRECT-EHR-SSMHC.COM",
"affiliation": "Y",
"affiliationName": "Southwest Health Center, Inc",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "MLEWIS261398@DIRECT-EHR-SSMHC.COM",
"address_1": "1400 Eastside Rd",
"city": "Platteville",
"state": "WI",
"country_code": "US",
"postal_code": "538189800",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Platteville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.