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John O Lewis

Physician β€’ Berwyn, IL

Active NPI 1619443033 Individual Practitioner Male Practitioner
Practice location in NPPES

6342 28th St Apt 16
Berwyn, IL 604022723

Call 7737127928 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6342 28th St Apt 16

Berwyn, IL 604022723

Telephone 7737127928
Organization at the Same NPPES Address or Phone
Legacy Transportation Llc Facility NPI 1063857530

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Non-emergency Medical Transport (VAN) Primary Specialty

NUCC Taxonomy Code: 343900000X

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ”„
NPI Profile Reactivated December 12, 2018

Record officially reactivated for active practice on December 12, 2018

πŸ“
Updated Practice Location December 12, 2018

Registered at 6342 28TH ST APT 16, BERWYN, IL 604022723 (Tel: 7737127928)

πŸ“
Updated Business Mailing Address December 12, 2018

Registered at 6342 28TH ST APT 16, BERWYN, IL 604022723 (Tel: 7737127928)

πŸ‘€
Provider Name / Credentials Updated December 12, 2018

Recorded as JOHN LEWIS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2018

Non-emergency Medical Transport (VAN)

⚠️
NPI Profile Deactivated November 25, 2018

NPPES lists this NPI as deactivated as of November 25, 2018; the reason is not published.

βœ…
NPI Profile Active October 23, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 23, 2018

Registered at 6342 28TH ST APT 16, BERWYN, IL 604022723 (Tel: 7737127928)

πŸ“
Business Mailing Address (Initial Record) October 23, 2018

Registered at 6342 28TH ST APT 16, BERWYN, IL 604022723 (Tel: 7737127928)

πŸ‘€
Provider Name / Credentials (Initial Record) October 23, 2018

Recorded as JOHN LEWIS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2018

Non-emergency Medical Transport (VAN)

🟒
Initial NPI Registration & Enumeration October 23, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1619443033
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2018
Last Update: December 12, 2018
Sole Proprietor: Yes

Mailing Address

6342 28th St Apt 16

Berwyn, IL 604022723

Phone: 7737127928

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.