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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: October 25, 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
Phone(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
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Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Stasha Lewis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc
Same address
Pediatrics
3723 W 12600 S, #150
Riverton, UT 84065
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1053441238 (801) 285-4561

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

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.

ADAM MICHAEL HOWARD M.D.
Family Medicine
3723 W 12600 S STE 150
RIVERTON, UT 84065
Salt Lake County (801) 285-4560
MELISSA MAYS KADISH MD
Pediatrics
3723 W 12600 S STE 150
RIVERTON, UT 84065
Salt Lake County (801) 285-4561
AUSTIN EDGAR BRANNON
Physician Assistant
3723 W 12600 S STE 150
RIVERTON, UT 84065
Salt Lake County (801) 285-4560
DR. PIPER ELIZABETH RICHEY M.D.
Family Medicine
3723 W 12600 S STE 150
RIVERTON, UT 84065
Salt Lake County (801) 285-4560

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.

Which organization bills Medicare for Stasha Lewis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stasha Lewis reassigns Medicare benefits to Ihc Health Services Inc (Riverton, UT). The 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 Stasha Lewis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.