Individual provider Active NPI

Dwight D Lewis, MD

  • Internal Medicine Physician
  • Buffalo, NY
National Provider Identifier
1942234489
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
189414 Issued in NY
Practice address
3125 Main St
Buffalo, NY 14214-1305
Phone
(716) 834-1455
Fax
(716) 834-1456
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 189414 NY Primary

Addresses

Primary practice location

3125 Main St
Buffalo, NY 14214-1305

Mailing address

3125 Main St
Buffalo, NY 14214-1305
Phone (716) 834-1455

Other identifiers 8

IdentifierTypeStateIssuer
01592474MedicaidNY
000523295002OtherNYBLUE CROSS-BLU SHIELD WNY
429874OtherNYWELLCARE
000523295006OtherNYBLUE SHIELD
161589460OtherNYUNITED HEALTH CARE
930129182OtherNYRAILROAD MEDICARE
00010103901OtherNYUNIVERA
0406468OtherNYINDEPENDENT HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050708000361 NY Practitioner - Internal MedicinePractitioner - Emergency Medicine 8729024013 Reassigns benefits to 1 organization
Practice locations: Buffalo, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
189414NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Jul 15, 2024 Accepting new patients
Buffalo Emergency Associates LLP Past Accepting new patients
Keystone Medical Services of New York, PC Past Accepting new patients

Locations

1091 Main St
Ste 301
Buffalo, NY 14209
Phone (716) 248-1420

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1942234489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141305",
            "telephone_number": "716-834-1455",
            "fax_number": "716-834-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141305",
            "telephone_number": "716-834-1455",
            "fax_number": "716-834-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DWIGHT",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "189414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01592474",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLU SHIELD WNY",
            "identifier": "000523295002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "429874",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000523295006",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "161589460",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930129182",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010103901",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "0406468",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.