MRS. TARA MARIE LEWIS N.P.
NPI 1427107531
Nurse Practitioner - Pediatrics in Port Jefferson, NY
About Mrs. Tara Marie Lewis N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TARA MARIE LEWIS N.P. (NPI 1427107531) is an individual pediatrics provider in Port Jefferson, New York, licensed in New York (F381695) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Tara Marie Lewis N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Tara Lewis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Islip, NY 11795
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Samaritan Medical Services PC
- 209 clinicians in this Medicare group
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
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 11777 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
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 Tara Lewis's NPI number?
The NPI number for Tara Lewis is 1427107531. It was assigned to this individual provider in the NPPES registry on January 9, 2007.
Where is Tara Lewis located?
Tara Lewis practices at 200 Belle Terre Rd, Port Jefferson, NY 11777. The listed phone number is (631) 474-6000.
What is Tara Lewis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Tara Lewis enrolled in Medicare?
Yes. Tara Lewis is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Tara Lewis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Lewis reassigns Medicare benefits to 2 organizations: Samaritan Medical Services, P.C. (West Islip, NY) and North Shore-Lij Medical PC (Great Neck, NY). 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 Tara 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 Tara Lewis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mrs. Tara Marie Lewis, N.P. · NPI 1427107531
Pediatrics physician in Port Jefferson, New York. Individual provider, active in the CMS NPPES registry since January 9, 2007.
## Identity
- **NPI:** 1427107531 (Entity type: Individual)
- **Enumerated:** January 9, 2007
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** F381695 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 BELLE TERRE RD, Port Jefferson, NY 11777-1928
- **Phone:** (631) 474-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Samaritan Medical Services, P.C. (NPI 1124184544, West Islip, NY); North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1427107531) · Data from the CMS NPPES public registry.