DR. JAKE EVAN LEWIS MD
NPI 1255082095
Radiology - Vascular & Interventional Radiology in Tampa, FL

Active since January 13, 2022PECOS Enrolled
17 DAVIS BLVD, TAMPA, FL 33606(813) 250-2506 Get Directions Write a Review

NPPES record last updated: January 24, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 24, 2026, Jan 15, 2026, Jan 13, 2022 (3 updates tracked since 2022).

About Dr. Jake Evan Lewis Md NPPES

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

DR. JAKE EVAN LEWIS MD (NPI 1255082095) is an individual vascular & interventional radiology provider in Tampa, Florida, licensed in Florida (ME175901) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255082095
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameDR. JAKE EVAN LEWISCredential: MD
Location Address17 DAVIS BLVDTampa, FL 33606-3475
Mailing Address6107 Heroncrest CtLithia, FL 33547-3878 · (208) 573-7653
Sole ProprietorYes
Enumeration DateJanuary 13, 2022
Last NPPES UpdateJanuary 24, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2026
NPI 1255082095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License Licensed in FL · ME175901
Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

17 DAVIS BLVD, Tampa, FL 33606

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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. Jake Evan 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 33606 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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.

Pediatrics (Neonatal-Perinatal Medicine)
17 DAVIS BLVD, SUITE 200
TAMPA, FL 33606
Nurse Practitioner
17 DAVIS BLVD, STE 402
TAMPA, FL 33606
Genetic Counselor, MS
17 DAVIS BLVD, SUITE 308
TAMPA, FL 33606
Pediatrics
17 DAVIS BLVD, PEDIATRIC CLINIC, SUITE 100
TAMPA, FL 33606
Nurse Practitioner (Neonatal)
17 DAVIS BLVD
TAMPA, FL 33606
Pediatrics
17 DAVIS BLVD, 2ND FLOOR
TAMPA, FL 33606
Nurse Practitioner (Family)
17 DAVIS BLVD, STE 402
TAMPA, FL 33606
General Acute Care Hospital (Children)
17 DAVIS BLVD, #200
TAMPA, FL 33606

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255082095, enumerated as an "individual" on January 13, 2022.

The provider is located at 17 DAVIS BLVD TAMPA, FL 33606 and the phone number is (813) 250-2506.

Radiology with taxonomy code 2085R0204X and a focus in Vascular & Interventional Radiology.