TASHEONNA CHRISSANDRA LEWIS (MD) – Emergency Medicine Physician, NPI 1417510017

TASHEONNA CHRISSANDRA LEWIS (MD) is a healthcare provider. based in Oak park, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 35.145366 (OH). The NPI Number for TASHEONNA CHRISSANDRA LEWIS (MD) is 1417510017

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
TASHEONNA CHRISSANDRA LEWIS (MD)
NPI
1417510017
Phone
Not provided
Address
21891 RIDGEDALE ST
Enumeration Date
18 April 2019
Last Update Date
27 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7702282721
Graduation Year
2019 (7 years ago)
PAC ID
6901287465
Group Practice PAC ID
4082853262
Professional Enrollment ID
I20240415000321
Address ID
GA302244213GR601XXSTXX400

Contacts

Secure Messaging
ft6558@wayne.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

3,166 EMERGENCY MEDICINE in MI

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Provider Addresses for TASHEONNA CHRISSANDRA LEWIS (MD)

  • 21891, Ridgedale Street, Oak Park, Oakland County, Michigan, 48237, United States

    OAK PARK, MI 482372727

    Phone:

    Type: Mailing

  • Henry Ford Hospital, 2799, West Grand Boulevard, New Center, Detroit, Wayne County, Michigan, 48202, United States

    DETROIT, MI 482022608

    Phone: (313) 916-1553

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2024-04-15

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220715001067IEmergency MedicineOHTBD
I20240415000321IEmergency MedicineGATBD

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
99285Emergency department visit with high level of medical decision making283271$0
99284Emergency department visit with moderate level of medical decision making6867$0
99283Emergency department visit with low level of medical decision making1212$0
View full utilization report →

Insurance plans in this area (ZIP 48237)

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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: 4082853262View full group profile
NameSpecialtyState
Emergency MedicineGA
-GA
Emergency MedicineNC
Internal MedicineGA
Emergency MedicineGA
Emergency MedicineGA
Nurse PractitionerGA
Emergency MedicineGA
Internal MedicineGA
-NJ

Reviews

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Frequently asked questions

What identifier follows TASHEONNA CHRISSANDRA LEWIS (MD) across health systems?
The NPI 1417510017 uniquely identifies TASHEONNA CHRISSANDRA LEWIS (MD) in U.S. healthcare data.
Should I treat TASHEONNA CHRISSANDRA LEWIS (MD) as an active provider?
Patients and plans typically see TASHEONNA CHRISSANDRA LEWIS (MD) as active in the national extract.
What services align with TASHEONNA CHRISSANDRA LEWIS (MD)'s listing?
TASHEONNA CHRISSANDRA LEWIS (MD)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to TASHEONNA CHRISSANDRA LEWIS (MD)?
TASHEONNA CHRISSANDRA LEWIS (MD) shows a connection to Oak Park, Michigan in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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