DR. O'DENE HANNIFFE LEWIS (M.B.,B.S) – Pulmonary Disease Physician, NPI 1083909089

DR. O'DENE HANNIFFE LEWIS (M.B.,B.S) is a healthcare provider. based in Granger, Indiana. specializing in PULMONARY DISEASE, CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials M.B.,B.S. They hold a License No. 01084475A (IN). The NPI Number for DR. O'DENE HANNIFFE LEWIS (M.B.,B.S) is 1083909089

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. O'DENE HANNIFFE LEWIS (M.B.,B.S)
NPI
1083909089
Phone
(574) 647-3725
Address
3245 HEALTH DR STE 100
Enumeration Date
17 June 2011
Last Update Date
25 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3157854000
Graduation Year
2008 (18 years ago)
PAC ID
9436466885
Group Practice PAC ID
4587793294
Professional Enrollment ID
I20180717000724
Address ID
NY136014034WA830XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:14State licenses:1Digital endpointsOther names

466 PULMONARY DISEASE in IN

Provider Addresses for DR. O'DENE HANNIFFE LEWIS (M.B.,B.S)

  • 3245 HEALTH DR STE 100

    GRANGER, IN 465301380

    Phone: (574) 647-3725

    Type: Mailing

  • 500 ARCADE AVE STE 210

    ELKHART, IN 465142485

    Phone: (574) 389-5656

    Fax: (574) 523-7891

    Type: Location

  • 11548 FEBRUARY CIRCLE #302

    SILVER SPRING, MD 20904

    Phone: (240) 424-4912

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-11-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20180717000724ICritical Care (Intensivists)NYTBD
I20201014002763IPulmonary DiseaseINTBD
I20231108003214ICritical Care (Intensivists)GATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes5655$0
36620Insertion of artery tube for blood sampling or infusion through skin2322$0
31500Emergent insertion of breathing tube into windpipe using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 46530)

Loading plans...

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: 4587793294View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check DR. O'DENE HANNIFFE LEWIS (M.B.,B.S) using NPI 1083909089?
NPI 1083909089 belongs to DR. O'DENE HANNIFFE LEWIS (M.B.,B.S); compare other details if you need extra assurance.
Is DR. O'DENE HANNIFFE LEWIS (M.B.,B.S) shown as active in public data?
Registry records indicate DR. O'DENE HANNIFFE LEWIS (M.B.,B.S) maintains an active NPI.
What area of care is associated with DR. O'DENE HANNIFFE LEWIS (M.B.,B.S)?
DR. O'DENE HANNIFFE LEWIS (M.B.,B.S)'s record emphasizes Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Is DR. O'DENE HANNIFFE LEWIS (M.B.,B.S) associated with Granger?
Public fields place DR. O'DENE HANNIFFE LEWIS (M.B.,B.S) around Granger, Indiana. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

600 East Blvd 4th Floor Hospitalists Ste
NPI: 1578547402
600 East Blvd 4th Floor Hospitalists Ste
NPI: 1629052543

DR. THOMAS FRANCIS JR. LAVELLE (M.D.)

Pulmonary Disease Physician
16253 CYPRESS CT
NPI: 1770599599

DR. CHARBEL F MASKINY (MD)

Critical Care Medicine (Internal Medicine) Physician
600 East Blvd 4th Floor Hospitalists Ste
NPI: 1093912180

KAMRAN JAVAID (M.D.)

Pulmonary Disease Physician
1 Good Samaritan Way
NPI: 1306030648

DR. EDWIN LARYEA ANNAN (MD)

Critical Care Medicine (Internal Medicine) Physician
500 ARCADE AVE STE 210
NPI: 1528245040

Beacon Bone and Joint Specialists

Critical Care Medicine (Internal Medicine) Physician
3220 Beacon Pkwy Ste 220
NPI: 1821222829

DIEGO JOSE HEREDIA VINTIMILLA (M.D.)

Pulmonary Disease Physician
500 ARCADE AVE STE 210
NPI: 1831321942