DR. KIRK J LEWIS MD
NPI 1033115803
Orthopaedic Surgery - Sports Medicine in Boise, ID

Q: What is Kirk Lewis's NPI number?

The NPI number for Kirk Lewis is 1033115803. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Q: What is Kirk Lewis's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Kirk Lewis was last updated on August 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 24, 2005PECOS Enrolled

1188 UNIVERSITY DR, BOISE, ID 83706(208) 336-8250(208) 345-9514 Get Directions Write a Review

NPPES record last updated: August 16, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Kirk J Lewis Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIRK J LEWIS MD (NPI 1033115803) is an individual sports medicine provider in Boise, Idaho, licensed in Idaho (M4960) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033115803

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDR. KIRK J LEWISCredential: MD

Location Address1188 UNIVERSITY DRBoise, ID 83706

Mailing Address1188 W University DrBoise, ID 83706-3009 · (208) 336-8250 · Fax (208) 345-9514

Phone(208) 336-8250

Fax(208) 345-9514

Sole ProprietorNo

Enumeration DateJune 24, 2005

Last NPPES UpdateAugust 16, 2018

✔ NPI 1033115803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in ID · M4960

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

1188 UNIVERSITY DR, Boise, ID 83706

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Other Identifiers 1

Medicaid1033115803ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kirk J Lewis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SCOT B SCHEFFEL MD

Family Medicine (Sports Medicine)