NICOLE L. LEWIS M.D. – NPI #1679860142
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

NICOLE LEWIS is a physician located in SAN JOSE, CA. NPPES has assigned the NPI number 1679860142 to NICOLE LEWIS on July 06, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 7 years ago on Aug 08, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NICOLE LEWIS below.

NPI Profile for
NICOLE L. LEWIS

NPI Number
1679860142
Enumeration Date

(about 15 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
NICOLE L. LEWIS
Credentials
M.D.
Primary location
6475 CAMDEN AVE STE 105
SAN JOSE, CA 95120
Phone: (408) 997-9155 Fax:
2 Other location(s):
18917 Joy Rd
Detroit, MI 48228-3050
Phone: (313) 446-8800
Fax: (313) 446-8810
24911 Little Mack Ave
Saint Clair Shores, MI 48080-3200
Phone: (586) 447-9064
Fax: (586) 447-9081
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 CA C159091

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE - Graduated 2011
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
NICOLE LEWIS is affiliated with the following medical group(s):
  • HOSPITAL
    • GOOD SAMARITAN HOSPITAL
      2425 SAMARITAN DRIVE
      SAN JOSE, CA 95124
    • STANFORD HEALTH CARE
      300 PASTEUR DRIVE
      STANFORD, CA 94305

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.