WILLIAM LEWIS-DE LOS ANGELES MD
NPI 1073930053
Pediatrics in Providence, RI

Q: What is William Lewis-de Los Angeles's NPI number?

The NPI number for William Lewis-de Los Angeles is 1073930053. It was assigned to this individual provider in the NPPES registry on March 27, 2014.

Q: What is William Lewis-de Los Angeles's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since March 27, 2014PECOS Enrolled

593 EDDY ST, PROVIDENCE, RI 02903(401) 444-4471(401) 444-7574 Get Directions Write a Review

NPPES record last updated: June 12, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 12, 2019, Jan 24, 2017 (2 updates tracked since 2017).

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About William Lewis-de Los Angeles Md NPPES

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

WILLIAM LEWIS-DE LOS ANGELES MD (NPI 1073930053) is an individual pediatrics provider in Providence, Rhode Island, licensed in Rhode Island (MD16739) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1073930053

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameWILLIAM LEWIS-DE LOS ANGELESCredential: MD

Location Address593 EDDY STProvidence, RI 02903

Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541 · (401) 444-6779 · Fax (401) 444-6912

Phone(401) 444-4471

Fax(401) 444-7574

Sole ProprietorNo

Enumeration DateMarch 27, 2014

Last NPPES UpdateJune 12, 20192 updates tracked since enumeration

✔ NPI 1073930053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in RI · MD16739✔ Licensed in IL · 1073930053

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

593 EDDY ST, Providence, RI 02903

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Secondary Practice Location 1

Location 1225 E Chicago AveChicago, IL 60611-2991 · Phone (312) 227-4000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William Lewis-de Los Angeles 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

DR. KEITH-AUSTIN SCARFO D.O.

Anesthesiology

593 EDDY ST, APC 6
PROVIDENCE, RI 02903

Providence County (401) 444-3777

AILEEN HSUEH

Surgery

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-8450

RHODE ISLAND HOSPITAL

General Acute Care Hospital

593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903

Providence County (401) 444-7585

DR. GA HIE NAM M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-5057

EUGENIE ATALLAH

Psychiatry & Neurology (Neurology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 606-2645

BRIAN CAO MD

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 606-4286

BRET CAULFIELD

Physician Assistant

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-4000

JUNG HO GONG

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 793-2695

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 William Lewis-de Los Angeles's NPI number?

The NPI number for William Lewis-de Los Angeles is 1073930053. It was assigned to this individual provider in the NPPES registry on March 27, 2014.

Where is William Lewis-de Los Angeles located?

William Lewis-de Los Angeles practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-4471.

What is William Lewis-de Los Angeles's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is William Lewis-de Los Angeles enrolled in Medicare?

Yes. William Lewis-de Los Angeles is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Lewis-de Los Angeles was last updated on June 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.