DR. RANDAL JOHN LEWIS (M.D.) – Family Medicine Physician, NPI 1215964309

DR. RANDAL JOHN LEWIS (M.D.) is a healthcare provider. based in Magna, Utah. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 89-246 (NM). The NPI Number for DR. RANDAL JOHN LEWIS (M.D.) is 1215964309

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. RANDAL JOHN LEWIS (M.D.)
NPI
1215964309
Phone
(801) 250-9638
Address
3665 S 8400 W
Enumeration Date
26 June 2006
Last Update Date
2 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8014469999
Graduation Year
1985 (41 years ago)
PAC ID
1759441645
Group Practice PAC ID
6901121235
Professional Enrollment ID
I20081121000588
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for DR. RANDAL JOHN LEWIS (M.D.)

  • 3665 S 8400 W

    Suite 110

    Magna, UT 840444907

    Phone: (801) 250-9638

    Type: Location

  • 1000 West, American Fork, Utah County, Utah, 84003, United States

    AMERICAN FORK, UT 840033897

    Phone: (801) 850-2800

    Type: Mailing

  • 310 E 4500 S STE 410

    MURRAY, UT 841073993

    Phone: (801) 850-2800

    Type: Location

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 $789.

Total Amount is formed as General ($789) + Research ($0) + Ownership ($0) = $789.

Last reported payment date: 2023-02-18 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($789).

Total Amount

$789

General + Research + Ownership

Payments

2

Total payment records

General Amount

$789

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2008-11-21

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
I20081121000588IFamily PracticeUTTBD

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 84044)

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Reviews

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

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Frequently asked questions

What is the 10-digit NPI for DR. RANDAL JOHN LEWIS (M.D.)?
DR. RANDAL JOHN LEWIS (M.D.) — NPI 1215964309 — is the standard way to identify this listing.
Does the file indicate DR. RANDAL JOHN LEWIS (M.D.) is practicing under active NPI?
Directory data currently reports DR. RANDAL JOHN LEWIS (M.D.) as active.
What is DR. RANDAL JOHN LEWIS (M.D.) best known for clinically?
Directory data describes DR. RANDAL JOHN LEWIS (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does DR. RANDAL JOHN LEWIS (M.D.) serve?
DR. RANDAL JOHN LEWIS (M.D.)'s listing highlights Magna, Utah; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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