Active NPI
Deri Michelle Lewis, M.D.
- Surgery Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- M4289
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Saint Louis University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7777 Forest LN
Dallas, TX 75230-2571
Phone (972) 566-7841
Hospital & facility affiliations
- Medical City Dallas Hospital
- Texas Health Presbyterian Hospital Dallas
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.87 of 100
- Quality
- 90.89
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 37 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Surgery Associates, P.a. | Current | Accepting new patients | |
| Deri M Lewis MD PA | Current | Accepting new patients | |
| Med City Dallas Outpatient Surgery Center, L.P. | Past | 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
- dlewis@direct.uspi.com
- 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.
-
- Trauma Surgery Physician
- Dallas, TX
- NPI 1326077082
-
- Specialist
- Dallas, TX
- NPI 1992033021
-
- Ambulatory Surgical Clinic/Center
- Dallas, TX
- NPI 1619995180
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1023180502
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1689628984
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1396779948
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.