Active NPI
Dwight D Lewis, MD
- Internal Medicine Physician
- Buffalo, NY
National Provider Identifier
1942234489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 189414
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01592474 | Medicaid | NY | |
| 000523295002 | Other | NY | BLUE CROSS-BLU SHIELD WNY |
| 429874 | Other | NY | WELLCARE |
| 000523295006 | Other | NY | BLUE SHIELD |
| 161589460 | Other | NY | UNITED HEALTH CARE |
| 930129182 | Other | NY | RAILROAD MEDICARE |
| 00010103901 | Other | NY | UNIVERA |
| 0406468 | Other | NY | INDEPENDENT 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 189414 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Physician, PC | Current | 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.
-
- General Practice Physician
- Dunkirk, NY
- NPI 1093959322
-
- Emergency Medicine Physician
- Williamsville, NY
- NPI 1508816521
-
- Emergency Medicine Physician
- Springville, NY
- NPI 1952331761
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.