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NPI Code Detail

MEDICARE: MATTHEW CRAIG LEWIS MD

MEDICARE: MATTHEW CRAIG LEWIS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080N0001XNeonatal-Perinatal Medicine Physician01071212IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548420425
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW CRAIG LEWIS MD
Provider Business Mailing Address
First Line : PO BOX 719094
Second Line :
City : CHICAGO
State : IL
Zip : 60677-9318
Country : US
Telephone Number : 317-777-6435
Fax Number : 317-777-6644
Provider Business Practice Location Address
First Line : 7150 CLEARVISTA DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-1695
Country : US
Telephone Number : 317-274-4715
Fax Number : 317-274-2065
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2008
Last Update Date : 02/14/2026

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