DR. STASHA S LEWIS MD
NPI 1164633715
Pediatrics in Riverton, UT

Active since May 25, 2007PECOS Enrolled
3723 W 12600 S STE 150, RIVERTON, UT 84065(801) 285-4561 Get Directions Write a Review

NPPES record last updated: January 19, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 19, 2017, Dec 12, 2016 (2 updates tracked since 2016).

About Dr. Stasha S Lewis Md NPPES

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

DR. STASHA S LEWIS MD (NPI 1164633715) is an individual pediatrics provider in Riverton, Utah, licensed in Utah (10122609-1205) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164633715
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. STASHA S LEWISCredential: MD
Location Address3723 W 12600 S STE 150Riverton, UT 84065-7296
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 285-4561
Sole ProprietorNo
Enumeration DateMay 25, 2007
Last NPPES UpdateJanuary 19, 20172 updates tracked since enumeration
NPI 1164633715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in UT · 10122609-1205 Licensed in MN · 51747 Licensed in TX · M6258
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.
3723 W 12600 S STE 150, Riverton, UT 84065

Accepted 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. Stasha S 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84065 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 4

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

Family Medicine
3723 W 12600 S STE 150
RIVERTON, UT 84065
Pediatrics
3723 W 12600 S STE 150
RIVERTON, UT 84065
Physician Assistant
3723 W 12600 S STE 150
RIVERTON, UT 84065
Family Medicine
3723 W 12600 S STE 150
RIVERTON, UT 84065

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 Stasha Lewis's NPI number?

The NPI number for Stasha Lewis is 1164633715. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is Stasha Lewis located?

Stasha Lewis practices at 3723 W 12600 S Ste 150, Riverton, UT 84065. The listed phone number is (801) 285-4561.

What is Stasha Lewis's specialty?

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

Is Stasha Lewis enrolled in Medicare?

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

What insurance does Stasha Lewis accept?

Health plans from Select Health list Stasha 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 Stasha Lewis was last updated on January 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.