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SHYQUAL M LEWIS MD
NPI 1063158970
Emergency Medicine in Utica, NY

Active since May 12, 2022PECOS EnrolledAccepts Medicare Assignment
120 HOBART ST, UTICA, NY 13501(315) 798-1149(315) 734-3565 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shyqual M Lewis Md NPPES

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

SHYQUAL M LEWIS MD (NPI 1063158970) is an individual emergency medicine provider in Utica, New York, licensed in New York (339188) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1063158970
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSHYQUAL M LEWISCredential: MD
Location Address120 HOBART STUtica, NY 13501-4308
Mailing Address2209 Genesee St, Business Office Room 315Utica, NY 13501 · (315) 801-3282 · Fax (315) 801-8391
Phone(315) 798-1149
Fax(315) 734-3565
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 12, 2022
Last NPPES UpdateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1063158970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 339188
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
120 HOBART ST, Utica, NY 13501
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shyqual M Lewis Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901308899
PECOS Enrollment IDI20250909001488
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

VIRENDRA SHARMA MD
Hospitalist
120 HOBART ST
UTICA, NY 13501
Oneida County (315) 798-1149
YANET MARTINEZ MD
Student in an Organized Health Care Education/Training Program
120 HOBART ST
UTICA, NY 13501
Oneida County (315) 798-1149
JULIE BETRO SHKANE DO
Family Medicine
120 HOBART ST
UTICA, NY 13501
Oneida County (315) 798-1149
EMILY HSU JOSLIN MD
Family Medicine
120 HOBART ST
UTICA, NY 13501
Oneida County (315) 797-1149
THET THET MAR NP
Nurse Practitioner (Family)
120 HOBART ST
UTICA, NY 13501
Oneida County (315) 798-1149
GYASI KODUA MD
Student in an Organized Health Care Education/Training Program
120 HOBART ST
UTICA, NY 13501
Oneida County (315) 798-1149
SUN YOO MD
Family Medicine
120 HOBART ST
UTICA, NY 13501
Oneida County (315) 798-1149
WENDY KENT FNP
Nurse Practitioner (Family)
120 HOBART ST
UTICA, NY 13501
Oneida County (315) 801-1149

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 Shyqual Lewis's NPI number?

The NPI number for Shyqual Lewis is 1063158970. It was assigned to this individual provider in the NPPES registry on May 12, 2022.

Where is Shyqual Lewis located?

Shyqual Lewis practices at 120 Hobart St, Utica, NY 13501. The listed phone number is (315) 798-1149.

What is Shyqual Lewis's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Shyqual Lewis enrolled in Medicare?

Yes. Shyqual Lewis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Shyqual Lewis affiliated with any hospitals?

According to CMS data, Shyqual Lewis is affiliated with Wynn Hospital.

When was this NPI record last updated?

The NPPES record for Shyqual Lewis was last updated on August 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.