Individual provider Active NPI

Albert Read Lewin, M.D.

  • Specialist
  • Beaufort, SC
National Provider Identifier
1962455519
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11027 Issued in SC
Practice address
860 Parris Island Gtwy
Suite B2
Beaufort, SC 29906-6921
Phone
(843) 986-9292
Fax
(843) 986-9292
NPI assigned
May 17, 2006
Last updated
Sep 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 11027 SC Primary
Otolaryngic Allergy Physician 207YX0602X 11207 SC
Pain Medicine Physician 208VP0000X 11207 SC

Addresses

Primary practice location

860 Parris Island Gtwy
Suite B2
Beaufort, SC 29906-6921

Mailing address

860 Parris Island Gtwy
Suite B2
Beaufort, SC 29906-6921
Phone (843) 986-9292

Other identifiers 8

IdentifierTypeStateIssuer
20045633OtherSCSELECT HEALTH
P00269415OtherSCRAILROAD MEDICARE
202019697OtherSCMULTIPLAN
202019697OtherSCBLUE CHOICE (COMPANION)
202019697OtherSCHEALTHCARE SAVINGS
202019697OtherSCTRICARE
110276MedicaidSC
202019697OtherSCPREMIER HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11027SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Medical Associates of Beaufort, PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1962455519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 PARRIS ISLAND GTWY",
            "address_2": "SUITE B2",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299066921",
            "telephone_number": "843-986-9292",
            "fax_number": "843-986-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 PARRIS ISLAND GTWY",
            "address_2": "SUITE B2",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299066921",
            "telephone_number": "843-986-9292",
            "fax_number": "843-986-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIN",
        "first_name": "ALBERT",
        "middle_name": "READ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "11027",
            "primary": true
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "SC",
            "license": "11207",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "SC",
            "license": "11207",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH",
            "identifier": "20045633",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00269415",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "202019697",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE (COMPANION)",
            "identifier": "202019697",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE SAVINGS",
            "identifier": "202019697",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "202019697",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110276",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMIER HEALTH",
            "identifier": "202019697",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.