Individual provider Active NPI

Darron Lewis, MD

  • Interventional Cardiology Physician
  • Port St Lucie, FL
National Provider Identifier
1962505206
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME122135 Issued in FL
Practice address
1700 SE Hillmoor Dr Ste 407
Port St Lucie, FL 34952-7561
Phone
(772) 335-9600
Fax
(772) 398-7971
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19901 MS
Cardiovascular Disease Physician 207RC0000X ME122135 FL
Interventional Cardiology Physician 207RI0011X ME122135 FL Primary
Internal Medicine Physician 207R00000X 39837 KY
Internal Medicine Physician 207R00000X ME122135 FL

Addresses

Primary practice location

1700 SE Hillmoor Dr Ste 407
Port St Lucie, FL 34952-7561

Mailing address

1700 SE Hillmoor Dr Ste 407
Port St Lucie, FL 34952-7561
Phone (772) 335-9600

Other identifiers 1

IdentifierTypeStateIssuer
7100133560MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DARRON.LEWIS@hca4.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171019001842 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7810069192 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lucie Medical Specialists LLCGroup PAC ID 1456430487, 39 clinicians
Lawnwood Cardiovascular Surgery LLCGroup PAC ID 7214937598, 53 clinicians

Practice addresses (Care Compare)

1109 NE Jensen Beach Blvd
Jensen Beach, FL 34957-4707
Phone (772) 335-9600

1700 S 23Rd St
Lawnwood Regional Medical Center
Fort Pierce, FL 34950-4803
Phone (772) 461-4000

1800 SE Tiffany Ave
St. Lucie Medical Center
Port Saint Lucie, FL 34952-7521
Phone (772) 335-4000

1881 SE Tiffany Ave
Port Saint Lucie, FL 34952-7567
Phone (772) 398-7822

2505 SW Martin Hwy
Palm City, FL 34990-3149
Phone (772) 288-1015

5301 S Congress Ave
Atlantis, FL 33462-1149

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.69 of 100Reported as individual
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting13
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39837KYMDInternal Medicine Physician
19901MSMDInternal Medicine Physician
ME122135FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawnwood Cardiovascular Surgery LLC Interventional Cardiology CurrentSince Aug 1, 2017 Accepting new patients
Thoracic & Cardiovascular Surgeons LLC Past Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients

Locations

5301 S Congress Ave
Bldg 300
Atlantis, FL 33462
Phone (561) 548-4900

1700 SE Hillmoor Dr
Ste 101
Port St Lucie, FL 34952
Phone (772) 288-2992

1700 SE Hillmoor Dr
Ste 407
Port St Lucie, FL 34952
Phone (772) 398-7936

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 4

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 2

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1962505206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SE HILLMOOR DR STE 407",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527561",
            "telephone_number": "772-335-9600",
            "fax_number": "772-398-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SE HILLMOOR DR STE 407",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527561",
            "telephone_number": "772-335-9600",
            "fax_number": "772-398-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DARRON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "19901",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME122135",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME122135",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "39837",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME122135",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100133560",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DARRON.LEWIS@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1700 SE Hillmoor Dr Ste 407",
            "city": "Port St Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349527561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.