DR. JOHN D LEWIS (MD) – Emergency Medicine Physician, NPI 1174550776

DR. JOHN D LEWIS (MD) is a healthcare provider. based in Seattle, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD00041492 (WA). The NPI Number for DR. JOHN D LEWIS (MD) is 1174550776

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN D LEWIS (MD)
NPI
1174550776
Phone
(206) 326-3223
Address
201 16th Ave E
Enumeration Date
27 June 2006
Last Update Date
27 April 2021

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
2063263000
Graduation Year
2000 (26 years ago)
PAC ID
4082603774
Group Practice PAC ID
9032022579
Professional Enrollment ID
I20040507001284
Address ID
WA981125226SE201XXEXXX400

Contacts

SOAP Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

4,141 FAMILY PRACTICE in WA

Provider Addresses for DR. JOHN D LEWIS (MD)

  • 201 16th Ave E

    Seattle, WA 981125226

    Phone: (206) 326-3223

    Type: Location

  • 2018, 25th Avenue East, Montlake, Seattle, King County, Washington, 98112, United States

    SEATTLE, WA 981123040

    Phone: (206) 854-8044

    Type: Mailing

  • PeaceHealth United General Medical Center, 2000, Hospital Drive, Sedro-Woolley, Skagit County, Washington, 98284, United States

    SEDRO WOOLLEY, WA 982844327

    Phone: (360) 856-7110

    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: 2004-05-07

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
I20040507001284IFamily PracticeWATBD

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 98112)

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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: 9032022579View 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

What is the registry number for DR. JOHN D LEWIS (MD)?
The registry entry for DR. JOHN D LEWIS (MD) shows NPI 1174550776.
Is DR. JOHN D LEWIS (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. JOHN D LEWIS (MD) as active.
What services align with DR. JOHN D LEWIS (MD)'s listing?
DR. JOHN D LEWIS (MD)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. JOHN D LEWIS (MD) tied to Seattle, Washington?
If you are local to Seattle, Washington, DR. JOHN D LEWIS (MD) may be relevant to your search.
Can I export DR. JOHN D LEWIS (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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