Individual provider Active NPI

Mitchell L Lewis, MD

  • Emergency Medicine Physician
  • Platteville, WI
National Provider Identifier
1912956137
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
50980-20 Issued in WI
Practice address
1400 Eastside Rd
Platteville, WI 53818-9800
Phone
(608) 348-2331
NPI assigned
May 6, 2006
Last updated
Nov 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080222000358 WI Practitioner - Emergency Medicine 3870686462 Reassigns benefits to 8 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35977COMDEmergency Medicine Physician
50980-20WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Savior Healthcare, Inc. Emergency Medicine CurrentSince May 1, 2021 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Dec 23, 2013 Accepting new patients
Southwest Health Center, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince May 1, 2021 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Dec 23, 2013 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. Emergency Medicine CurrentSince May 29, 2012 Accepting new patients
Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin Emergency Medicine CurrentSince May 11, 2021 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince May 29, 2012 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince May 11, 2021 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin CurrentSince Oct 17, 2025 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin Current Accepting new patients
Southwest Health Center, Inc CurrentSince Dec 1, 2025 Accepting new patients
Emergency Medicine Associates of Madison, SC Emergency Medicine PastSince Dec 14, 2025 Accepting new patients
Front Range Emergency Specialists, PC Emergency Medicine Past Accepting new patients

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

  • Direct secure messaging: 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.

View all 16

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

Verify at the official NPI Registry.