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

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: November 01, 2026.

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 Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kirk Lewis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Idaho Sports Medicine Institute PA
Same address
Neuromusculoskeletal Medicine, Sports Medicine
1188 UNIVERSITY DR
Boise, ID 83706
  • Reassigned Medicare billing, Idaho enrollment
  • 12 clinicians in this Medicare group
NPI 1154356624 (208) 336-8250
Regents Of The Univ Of Ca
373 mi
Urogynecology and Reconstructive Pelvic Surgery
4860 Y ST
Sacramento, CA 95817
  • Reassigned Medicare billing, California enrollment
  • 2,570 clinicians in this Medicare group
NPI 1285068783 (916) 734-6483

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
1188 UNIVERSITY DR
BOISE, ID 83706
Ada County (208) 336-8250
IDAHO SPORTS MEDICINE INSTITUTE PA
Neuromusculoskeletal Medicine, Sports Medicine
1188 UNIVERSITY DR
BOISE, ID 83706
Ada County (208) 336-8250
DR. JENNIFER RAWLINGS MILLER MD
Orthopaedic Surgery (Sports Medicine)
1188 UNIVERSITY DR
BOISE, ID 83706
Ada County (208) 336-8250
MS. LINDA HAMMANN MS, PT, SCS, ATC
Physical Therapist
1188 UNIVERSITY DR
BOISE, ID 83706
Ada County (208) 336-8250
KORENE D MAYO ATC, LAT
Specialist/Technologist (Athletic Trainer)
1188 UNIVERSITY DR
BOISE, ID 83706
Ada County (208) 336-8250
KRISTIN K HULQUIST MPT
Physical Therapist (Orthopedic)
1188 UNIVERSITY DR
BOISE, ID 83706
Ada County (208) 336-8250
BRADFORD R. PAGE MS, PT
Physical Therapist (Orthopedic)
1188 UNIVERSITY DR
BOISE, ID 83706
Ada County (208) 336-8250

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Kirk Lewis located?

Kirk Lewis practices at 1188 University Dr, Boise, ID 83706. The listed phone number is (208) 336-8250.

What is Kirk Lewis's specialty?

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

Is Kirk Lewis enrolled in Medicare?

Yes. Kirk Lewis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kirk Lewis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kirk Lewis reassigns Medicare benefits to 2 organizations: Idaho Sports Medicine Institute PA (Boise, ID) and Regents Of The Univ Of Ca (Sacramento, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kirk Lewis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kirk Lewis accept?

Health plans from Select Health list Kirk Lewis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.