DAVID RAY LEWIS (MD) – Psychiatry Physician, NPI 1154828663

DAVID RAY LEWIS (MD) is a healthcare provider. based in San tan valley, Arizona. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 66139 (AZ). The NPI Number for DAVID RAY LEWIS (MD) is 1154828663

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DAVID RAY LEWIS (MD)
NPI
1154828663
Phone
(480) 764-1900
Address
36457 N GANTZEL RD STE 102
Enumeration Date
11 April 2018
Last Update Date
5 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3048551200
Graduation Year
2017 (9 years ago)
PAC ID
2567713779
Group Practice PAC ID
2668528746
Professional Enrollment ID
I20230525002229
Address ID
WV255089202CH386XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

563 PSYCHIATRY in AZ

Provider Addresses for DAVID RAY LEWIS (MD)

  • 36457 N GANTZEL RD STE 102

    SAN TAN VALLEY, AZ 851407343

    Phone: (480) 764-1900

    Type: Location

  • 3200 MACCORKLE AVE SE FL CENTER5

    CHARLESTON, WV 253041227

    Phone: (304) 388-1000

    Fax: (304) 388-1021

    Type: Mailing

  • 3200 MacCorkle Ave SE Fl Center5

    Charleston, WV 253041227

    Phone: (304) 388-1000

    Fax: (304) 388-1021

    Type: Location

  • 16620 N 40th St Ste E-1

    Phoenix, AZ 850323348

    Phone: (602) 464-9576

    Fax: (602) 626-8901

    Type: Location

  • 4531 N 16TH ST STE 114

    PHOENIX, AZ 850165344

    Phone: (602) 266-8700

    Fax: (602) 296-0404

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $49.

Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.

Last reported payment date: 2024-01-08 • Largest payer in this snapshot: ABBVIE INC. ($27).

Total Amount

$49

General + Research + Ownership

Payments

2

Total payment records

General Amount

$49

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$27
Lundbeck LLC$23
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230525002229IPsychiatryWVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 85140)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668528746View full group profile
NameSpecialtyState
Nurse PractitionerWV
Nurse PractitionerWV
Family PracticeWV
Nurse PractitionerWV
Nurse PractitionerWV
Family PracticeWV
Mental Health CounselorWV
Nurse PractitionerWV
Physician AssistantWV
Nurse PractitionerWV

Reviews

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Frequently asked questions

Can I use this page to confirm DAVID RAY LEWIS (MD)'s NPI?
Yes. DAVID RAY LEWIS (MD) is listed with NPI 1154828663 in the public NPI dataset.
Does CMS list DAVID RAY LEWIS (MD) as active?
Yes — DAVID RAY LEWIS (MD) is active in the NPI listing used on this page.
What is DAVID RAY LEWIS (MD)'s primary classification?
Psychiatry Physician is the headline specialty for DAVID RAY LEWIS (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for DAVID RAY LEWIS (MD)?
DAVID RAY LEWIS (MD)'s geographic hint is San Tan Valley, Arizona in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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