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DR. JOHNATHAN PATRICK LEWIS DO
NPI 1417517236
Emergency Medicine in Oak Park, IL

Active since June 14, 2019PECOS EnrolledAccepts Medicare Assignment
520 S MAPLE AVE, OAK PARK, IL 60304(708) 660-5997(630) 660-2251 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 16, 2023, Jun 14, 2019 (2 updates tracked since 2019).

About Dr. Johnathan Patrick Lewis Do NPPES

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

DR. JOHNATHAN PATRICK LEWIS DO (NPI 1417517236) is an individual emergency medicine provider in Oak Park, Illinois, licensed in Illinois (036163696) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Rush Oak Park Hospital, and maintains a secondary practice location in Muskegon.

NPPES Registry Identity

NPI1417517236
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JOHNATHAN PATRICK LEWISCredential: DO
Location Address520 S MAPLE AVEOak Park, IL 60304-1022
Mailing Address520 S Maple AveOak Park, IL 60304-1022 · (708) 660-5997 · Fax (630) 660-2251
Phone(708) 660-5997
Fax(630) 660-2251
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2019
Enumeration DateJune 14, 2019
Last NPPES UpdateMay 16, 20232 updates tracked since enumeration
NPPES CertifiedMay 16, 2023
✔ NPI 1417517236 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 IL · 036163696
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 · License 5151014031 (MI)
520 S MAPLE AVE, Oak Park, IL 60304
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Secondary Practice Location 1

Location 11700 Clinton StMuskegon, MI 49442-5502 · Phone (231) 728-4936

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Johnathan Patrick Lewis Do 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 ID7719385871
PECOS Enrollment IDI20230626001914
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 Reassignments

4

Medicare enrollment records show Johnathan Lewis reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rush Oak Park ER Physicians Group
Same address
Emergency Medical Services
520 S MAPLE AVE, EMERGENCY DEPARTMENT
Oak Park, IL 60304
  • Reassigned Medicare billing, Illinois enrollment
  • 124 clinicians in this Medicare group
NPI 1447260880 (708) 660-5995
Rush University Medical Center
6.7 mi
Internal Medicine
2011 YORK ROAD, 2ND FLOOR
Oak Brook, IL 60523
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rush University Medical Group
  • 2,169 clinicians in this Medicare group
NPI 1801375696 (630) 724-1310
Rush Medical Group
7.0 mi
Internal Medicine
1620 W HARRISON ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 548 clinicians in this Medicare group
NPI 1467312850 (312) 942-5000
Lake Michigan Emergency Specialists, PLLC
122 mi
Emergency Medicine
1700 CLINTON ST, EMERGENCY DEPARTMENT
Muskegon, MI 49442
  • Reassigned Medicare billing, Michigan enrollment
  • 83 clinicians in this Medicare group
NPI 1124574520 (231) 728-4601

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
224 services219 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
55 services54 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
37 services36 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
27 services27 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Rush Oak Park Hospital

Acute Care Hospitals · Oak Park, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140063
Location520 S Maple AveOak Park, IL 60304 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60304 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

MEGAN NOLLEY NAJARRO
Registered Nurse
520 S MAPLE AVE
OAK PARK, IL 60304
Cook County (630) 842-2727
ALYSEE GIRAUD-CARRIER PA-C
Physician Assistant
520 S MAPLE AVE
OAK PARK, IL 60304
Cook County (708) 660-0600
ELIZABETH BASSETT CRNA
Nurse Anesthetist, Certified Registered
520 S MAPLE AVE
OAK PARK, IL 60304
Cook County (708) 383-9300
DR. MAX A FITZGERALD MD
Physical Medicine & Rehabilitation
520 S MAPLE AVE, SUITE 4600
OAK PARK, IL 60304
Cook County (708) 660-2240
MOLLY HODUL RD
Dietitian, Registered
520 S MAPLE AVE
OAK PARK, IL 60304
Cook County (708) 660-3662
NUPUR SHAH DO
Emergency Medicine
520 S MAPLE AVE
OAK PARK, IL 60304
Cook County (708) 660-5997
TAYLOR SARPONG
Nurse Practitioner (Primary Care)
520 S MAPLE AVE
OAK PARK, IL 60304
Cook County (708) 660-4800
DR. COLIN THERRIAULT M.D.
Emergency Medicine
520 S MAPLE AVE
OAK PARK, IL 60304
Cook County (708) 660-5997

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 Johnathan Lewis's NPI number?

The NPI number for Johnathan Lewis is 1417517236. It was assigned to this individual provider in the NPPES registry on June 14, 2019.

Where is Johnathan Lewis located?

Johnathan Lewis practices at 520 S Maple Ave, Oak Park, IL 60304. The listed phone number is (708) 660-5997.

What is Johnathan Lewis's specialty?

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

Is Johnathan Lewis enrolled in Medicare?

Yes. Johnathan 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.

Which organizations bill Medicare for Johnathan Lewis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johnathan Lewis reassigns Medicare benefits to 4 organizations: Rush Oak Park ER Physicians Group (Oak Park, IL), Rush University Medical Center (Oak Brook, IL), Rush Medical Group (Chicago, IL) and Lake Michigan Emergency Specialists, PLLC (Muskegon, MI). Each 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 Johnathan Lewis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Johnathan Lewis affiliated with any hospitals?

According to CMS data, Johnathan Lewis is affiliated with Rush Oak Park Hospital.

When was this NPI record last updated?

The NPPES record for Johnathan Lewis was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.