BEVERLY LEWIS (MD) – Dermatology Physician, NPI 1760456529

BEVERLY LEWIS (MD) is a healthcare provider. based in Lake elsinore, California. specializing in DERMATOLOGY, GENERAL PRACTICE. They hold the professional credentials MD. They hold a License No. G42697 (CA). The NPI Number for BEVERLY LEWIS (MD) is 1760456529

Main info

Female
47 Years Of Experience
Accepts Medicare Assignment
Name
BEVERLY LEWIS (MD)
NPI
1760456529
Phone
(310) 806-1002
Address
29306 CATALPA
Enumeration Date
16 February 2006
Last Update Date
1 February 2021

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Secondary Phone
9513630243
Graduation Year
1979 (47 years ago)
PAC ID
7911084728
Professional Enrollment ID
I20080403000285
Address ID
CA928823401CO900XXSTXX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,140 DERMATOLOGY in CA

Provider Addresses for BEVERLY LEWIS (MD)

  • 29306 CATALPA

    LAKE ELSINORE, CA 925309100

    Phone: (310) 806-1002

    Type: Mailing

  • 900 S MAIN ST STE 105

    CORONA, CA 928823401

    Phone: (951) 363-0243

    Type: Location

  • 2675, East Slauson Avenue, Huntington Park, Los Angeles County, California, 90255, United States

    ALL CARE MEDICAL GROUP INC

    HUNTINGTON PARK, CA 90255

    Phone: (323) 589-6681

    Fax: (323) 584-2505

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $146.

Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.

Last reported payment date: 2023-12-18 • Largest payer in this snapshot: Lilly USA, LLC ($146).

Total Amount

$146

General + Research + Ownership

Payments

4

Total payment records

General Amount

$146

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$146
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: 2008-04-03

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
I20080403000285IGeneral PracticeCATBD

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 92530)

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Reviews

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Frequently asked questions

Can I verify BEVERLY LEWIS (MD) with an NPI only?
You can start verification with NPI 1760456529 for BEVERLY LEWIS (MD), then check state licensing separately.
Is BEVERLY LEWIS (MD) still practicing?
BEVERLY LEWIS (MD) is currently listed as active in the public NPI registry.
What is BEVERLY LEWIS (MD)'s specialty?
The listing groups BEVERLY LEWIS (MD) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect BEVERLY LEWIS (MD) on a map?
Expect Lake Elsinore, California as a primary anchor for BEVERLY LEWIS (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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