Individual provider Active NPI

Amanda Lewis, M.D.

  • Allergy Physician
  • Lubbock, TX
National Provider Identifier
1972949048
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
R6433 Issued in TX
Practice address
3502 22ND St
Lubbock, TX 79410-1308
Phone
(806) 799-4192
Fax
(806) 799-6299
NPI assigned
May 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X R6433 TX Primary

Addresses

Primary practice location

3502 22ND St
Lubbock, TX 79410-1308

Mailing address

3502 22ND St
Lubbock, TX 79410-1308
Phone (806) 799-4192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180820000846 TX Practitioner - Allergy/Immunology 3274833876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Louisville School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allervie Health Texas PAGroup PAC ID 4789659392, 9 clinicians

Practice addresses (Care Compare)

3502 22ND St
Lubbock, TX 79410-1308
Phone (806) 318-0441

Hospital & facility affiliations

  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
  • Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306
  • Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allervie Health Texas PA Allergy CurrentSince Aug 20, 2018 Accepting new patients

Locations

5424 19th St
Ste 300
Lubbock, TX 79407
Phone (806) 795-4391

10607 Quaker Ave
Unit 102
Lubbock, TX 79424
Phone (806) 318-0441

3502 22nd St
Lubbock, TX 79410
Phone (806) 771-5595

5000 Briarwood Ave
Ste 100
Midland, TX 79707
Phone (432) 682-5385

Interoperability endpoints

  • Direct secure messaging: lewis.amanda.013.0090427@avh.meditab.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1972949048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 22ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101308",
            "telephone_number": "806-799-4192",
            "fax_number": "806-799-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 22ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101308",
            "telephone_number": "806-799-4192",
            "fax_number": "806-799-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "R6433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.