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David Lewis, MD

Family Medicine in Philadelphia, PA. Individual provider (NPI-1).

NPI number1679554109
StatusActive
Last updated in NPPESApr 13, 2021

Details

NPI
1679554109
Entity type
Individual (NPI-1)
Name
David Lewis
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Nov 10, 2005
Certification date
Apr 13, 2021
Last updated
Apr 13, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - FAMILY PRACTICE
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD072399LPAYes

Practice location

760 Carpenter Ln
Philadelphia, PA 19119-3406

Phone 215-848-6880

Mailing address

760 Carpenter Lane
Philadelphia, PA 19119

Phone 215-848-6880

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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