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Matthew Lewis

Dietitian, Registered β€’ Provo, UT

Active NPI 1457722563 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

395 W Cougar Blvd Ste 401
Provo, UT 846043338

Call 8013577546 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

395 W Cougar Blvd Ste 401

Provo, UT 846043338

Telephone 8013577546
Organization at the Same NPPES Address or Phone
Ihc Health Services Inc Facility NPI 1528884970

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2011

Years since graduation

15 years (graduated 2011)

CMS Doctors and Clinicians data list 2011 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2015

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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

Enrolled in Medicare (PECOS)

Matthew Lewis has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Provo and Utah

44 active clinicians are listed under Dietitian, Registered with a practice address in Provo, UT (684 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Provo

2.3% of these 44 clinicians have the CMS telehealth indicator.

6.8% of these 44 clinicians are listed by CMS as accepting Medicare assignment.

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

Self-certified to NPPES: 2025-12-05
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES UT 8691966-4901

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

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: Utah Division of Professional Licensing.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL

Medicare Enrollment ID

I20251007002417

Enrollment State Jurisdiction

UT

PECOS Control ID

7113253733

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
John Ball , PA-C

Physician Assistant

NPI 1003975145

Physician Assistant (Certified)

Rebecca Isaacson , NP

Nurse Practitioner

NPI 1265907497

Nurse Practitioner

Afton Leuga , APRN

Nurse Practitioner - Family

NPI 1902308455

Advanced Practice Registered Nurse

John Lung

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1922636448

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Business Mailing Address December 05, 2025

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128

πŸ“
Updated Practice Location September 05, 2025

Registered at 395 W COUGAR BLVD STE 401, PROVO, UT 846043338 (Tel: 8013577546)

πŸ“
Updated Business Mailing Address September 05, 2025

Registered at 395 W COUGAR BLVD STE 401, PROVO, UT 846043338

πŸ“
Updated Practice Location May 16, 2019

Registered at 660 S 200 E STE 250, SALT LAKE CITY, UT 841113846 (Tel: 8012272000)

βœ…
NPI Profile Active October 15, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 15, 2015

Registered at 4501 N UNIVERSITY AVE, PROVO, UT 846045504 (Tel: 8012272000)

πŸ“
Business Mailing Address (Initial Record) October 15, 2015

Registered at 4501 N UNIVERSITY AVE, PROVO, UT 846045504 (Tel: 8012272000)

πŸ‘€
Provider Name / Credentials (Initial Record) October 15, 2015

Recorded as MATTHEW LEWIS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2015

Dietitian, Registered (license number reported to NPPES: UT 8691966-4901)

🟒
Initial NPI Registration & Enumeration October 15, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1457722563
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 15, 2015
Last Update: December 05, 2025
Sole Proprietor: No

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

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.