CREIGHTON LEWIS M.D. – NPI #1376920553
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

CREIGHTON LEWIS is a radiologist located in BOISE, ID. NPPES has assigned the NPI number 1376920553 to CREIGHTON LEWIS on April 27, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 6 years ago on Jun 09, 2020. 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 CREIGHTON LEWIS below.

NPI Profile for
CREIGHTON LEWIS

NPI Number
1376920553
Enumeration Date

(more than 11 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CREIGHTON LEWIS
Credentials
M.D.
Primary location
500 WEST FORT ST. #111R
BOISE VAMC
BOISE, ID 83702
Phone: (208) 220-6546 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Jun 09, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 UT 11682730-1205

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
UNIVERSITY OF UTAH SCHOOL OF MEDICINE - Graduated 2015
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
CREIGHTON LEWIS is affiliated with the following medical group(s):
  • HOSPITAL
    • NORTH CANYON MEDICAL CENTER
      267 NORTH CANYON DR
      GOODING, ID 83330
    • ST LUKE'S JEROME
      709 NORTH LINCOLN AVENUE
      JEROME, ID 83338
    • ST LUKE'S MCCALL
      1000 STATE STREET
      MCCALL, ID 83638
    • ST LUKE'S REGIONAL MEDICAL CENTER
      190 EAST BANNOCK STREET
      BOISE, ID 83712
    • ST LUKES MAGIC VALLEY MEDICAL CENTER
      801 POLE LINE ROAD WEST
      TWIN FALLS, ID 83301

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