Active NPI
Jacob J Lewis, D.O.
- Family Medicine Physician
- Lakewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0055641
- Practice address
- 8383 W Alameda Ave
Lakewood, CO 80226-3007 - Phone
- (303) 338-4545
- NPI assigned
- Jun 20, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0055641 | CO | Primary |
| Family Medicine Physician | 207Q00000X | 0116024892 | VA | |
| Family Medicine Physician | 207Q00000X | 05-51075 | KS |
Addresses
Primary practice location
8383 W Alameda Ave
Lakewood, CO 80226-3007
Mailing address
10350 E Dakota Ave
Denver, CO 80247-1314
Other practice location 1
7405 Renner Rd
Shawnee, KS 66217-9414
Phone (913) 588-1227
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026468 | Other | CO | KAISER COMMERCIAL NUMBER |
| 76682854 | Medicaid | CO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- 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
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7405 Renner Rd
Shawnee, KS 66217-9414
Phone (913) 588-8400
Hospital & facility affiliations
- University of Kansas Hospital
- University of Kansas Health System Olathe Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0055641 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Permanente Medical Group, P.C. | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Co | Current | Accepting new patients | |
| Jayhawk Primary Care Inc | Family Medicine | Current | Accepting new patients |
| Jayhawk Primary Care Inc | Family Medicine | Current | Accepting new patients |
| Jayhawk Primary Care Inc | Family Medicine | Past | Accepting new patients |
Locations
10350 E Dakota Ave
Denver, CO 80247
Phone (303) 636-3350
8383 W Alameda Ave
Lakewood, CO 80226
Phone (303) 239-7253
7405 Renner Rd
Shawnee Msn, KS 66217
Phone (913) 588-2200
Interoperability endpoints
- jlewis785733@direct.kuha.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Shawnee, KS
- NPI 1528025053
-
- Internal Medicine Physician
- Denver, CO
- NPI 1760599724
-
- Clinic/Center
- Colorado Springs, CO
- NPI 1053737304
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1982665436
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olathe, KS
- NPI 1144266115
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1972866382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10350 E DAKOTA AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802471314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8383 W ALAMEDA AVE",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802263007",
"telephone_number": "303-338-4545"
}
],
"practiceLocations": [
{
"address_1": "7405 Renner Rd",
"address_purpose": "LOCATION",
"city": "Shawnee",
"state": "KS",
"postal_code": "662179414",
"country_code": "US",
"telephone_number": "913-588-1227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "JACOB",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-20",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "0055641",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0116024892",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "05-51075",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER COMMERCIAL NUMBER",
"identifier": "026468",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "76682854",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "8383 W Alameda Ave",
"city": "Lakewood",
"state": "CO",
"country_code": "US",
"postal_code": "802263007",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.