REBECCA C LEWIS (D.O.) – Family Medicine Physician, NPI 1174582407

REBECCA C LEWIS (D.O.) is a healthcare provider. based in Tahlequah, Oklahoma. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. N8070 (AR). The NPI Number for REBECCA C LEWIS (D.O.) is 1174582407

Main info

Female
Sole Proprietor
Name
REBECCA C LEWIS (D.O.)
NPI
1174582407
Phone
(918) 207-4911
Address
17611 SOUTH MUSKOGEE AVE
Enumeration Date
23 March 2006
Last Update Date
9 March 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for REBECCA C LEWIS (D.O.)

  • 17611 SOUTH MUSKOGEE AVE

    TAHLEQUAH, OK 744640000

    Phone: (918) 207-4911

    Fax: (918) 458-6221

    Type: Location

  • Siloam Springs Post Office, 828, South Carl Street, Twin Springs, Siloam Springs, Benton County, Arkansas, 72761, United States

    SILOAM SPRINGS, AR 727611426

    Phone: (479) 524-8552

    Fax: (479) 524-8593

    Type: Mailing

  • Jim's Razorback Pizza, 2125, East Main Street, Siloam Springs, Benton County, Arkansas, 72761, United States

    STE. 10

    SILOAM SPRINGS, AR 727615571

    Phone: (479) 524-8552

    Fax: (479) 524-8593

    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 $40.

Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.

Last reported payment date: 2023-03-01 • Largest payer in this snapshot: Novo Nordisk Inc ($40).

Total Amount

$40

General + Research + Ownership

Payments

2

Total payment records

General Amount

$40

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$40
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: 2019-07-15

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
I20190715003091IFamily PracticeTXTBD

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 74464)

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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

Can I use this page to confirm REBECCA C LEWIS (D.O.)'s NPI?
Yes. REBECCA C LEWIS (D.O.) is listed with NPI 1174582407 in the public NPI dataset.
Is REBECCA C LEWIS (D.O.) listed as active for patients and plans?
The listing shows REBECCA C LEWIS (D.O.) as active in the NPI system.
What is REBECCA C LEWIS (D.O.)'s primary classification?
Family Medicine Physician is the headline specialty for REBECCA C LEWIS (D.O.) here. Clinical services aligned with this taxonomy classification.
Does REBECCA C LEWIS (D.O.) list a practice location?
Patients near Tahlequah, Oklahoma may find REBECCA C LEWIS (D.O.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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