Individual provider Active NPI

Deri Michelle Lewis, M.D.

  • Surgery Physician
  • Dallas, TX
National Provider Identifier
1932201506
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M4289 Issued in TX
Practice address
7777 Forest LN
C522
Dallas, TX 75230-2505
Phone
(972) 566-4880
Fax
(972) 566-6256
NPI assigned
Sep 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X M4289 TX
Surgery Physician 208600000X M4289 TX Primary

Addresses

Primary practice location

7777 Forest LN
C522
Dallas, TX 75230-2505

Mailing address

7777 Forest LN
Ste C208
Dallas, TX 75230-6835
Phone (972) 566-5880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070212000626 TX Practitioner - General SurgeryPractitioner - Surgical Oncology 1557363082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Surgical Oncology
Education
Saint Louis University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Surgery Associates PAGroup PAC ID 0042122137, 58 clinicians

Practice addresses (Care Compare)

7777 Forest LN
Dallas, TX 75230-2571
Phone (972) 566-7841

Hospital & facility affiliations

  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647
  • Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462

Merit-based Incentive Payment System (MIPS)

Final score
98.87 of 100Reported as group
Quality
90.89
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Surgery Associates, P.a. CurrentSince Apr 1, 2024 Accepting new patients
Deri M Lewis MD PA CurrentSince Nov 30, 2009 Accepting new patients
Med City Dallas Outpatient Surgery Center, L.P. PastSince Sep 1, 2022 Accepting new patients

Locations

7777 Forest Ln
Ste C
Dallas, TX 75230
Phone (972) 566-6686

621 N Hall St
Dallas, TX 75226
Phone (214) 820-0600

7777 Forest Ln
Ste C585
Dallas, TX 75230
Phone (972) 566-4880

7777 Forest Ln
Ste C522
Dallas, TX 75230
Phone (469) 757-6099

2710 Swiss Ave
Dallas, TX 75204
Phone (214) 821-2303

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

7777 Forest Ln
Ste 150
Dallas, TX 75230
Phone (817) 675-8022

7777 Forest Ln
Ste C208
Dallas, TX 75230
Phone (972) 566-5880

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

Interoperability endpoints

  • Direct secure messaging: dlewis@direct.uspi.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFFEDD/Endpoint/AFFEDD

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1932201506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "STE C208",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306835",
            "telephone_number": "972-566-5880",
            "fax_number": "972-566-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "C522",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-4880",
            "fax_number": "972-566-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DERI",
        "middle_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "TX",
            "license": "M4289",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M4289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.