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KEVAN G LEWIS MD NPI 1497970560


NPI Information

NPI: 1497970560
Provider Name: KEVAN G LEWIS, MD
Classification: Dermatology - 207ND0101X
Entity Type: Individual

Specialization: MOHS-Micrographic Surgery

Organization: NEW DERMATOLOGY GROUP LTD

PECOS Registration: Yes

Address:
3059 VOYAGER DR
GREEN BAY, WI
ZIP 54311
Phone: (920) 965-0345
Get Directions

Kevan G Lewis, MD is a mohs-micrographic surgery dermatology in Green Bay, WI with 20 years of experience. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. Kevan G Lewis, MD NPI is 1497970560. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

3059 VOYAGER DR
GREEN BAY, WI
ZIP 54311-303
Phone: (920) 965-0345
Fax: (920) 257-4559

The NPI 1497970560 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Tissue or cell analysis by immunologic technique (HCPCS:88342)
  • Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • Destruction of skin growth (HCPCS:17000)
  • Biopsy of each additional growth of skin and/or tissue (HCPCS:11101)
  • Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (HCPCS:13132)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Special stained specimen slides to examine tissue (HCPCS:88341)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)

The enumeration date for this NPI number is 4/16/2007 and was last updated on 9/29/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatology53110-20WISCONSINNo
2207N00000XDermatology51745MINNESOTANo
3207N00000XDermatologyLP00514RHODE ISLANDNo
4207ND0101XDermatologyMOHS-Micrographic Surgery53110-020WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
153110-020OTHERWISCONSINSTATE LICENSE
2ENROLLEDMEDICAIDIOWA
3P00787809OTHERMINNESOTARAILROAD MEDICARE
4ENROLLEDMEDICAIDMINNESOTA
51497970560MEDICAIDWISCONSIN
6FL0601179OTHERWISCONSINDEA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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