DR. ANGELA NICOLE LEWIS M.D.
NPI 1508246778
Pediatrics - Neonatal-Perinatal Medicine in Saint Louis, MO

Active since June 03, 2015PECOS Enrolled
1465 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 577-5642(314) 268-6410 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 20, 2021, Mar 26, 2021, Aug 6, 2019 and 1 more (4 updates tracked since 2019).

About Dr. Angela Nicole Lewis M.d. NPPES

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

DR. ANGELA NICOLE LEWIS M.D. (NPI 1508246778) is an individual neonatal-perinatal medicine provider in Saint Louis, Missouri, licensed in Missouri (2018007775) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508246778
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. ANGELA NICOLE LEWISCredential: M.D.
Location Address1465 S GRAND BLVDSaint Louis, MO 63104-1003
Mailing Address1465 S Grand BlvdSaint Louis, MO 63104-1003 · (314) 577-5642 · Fax (314) 268-6410
Fax(314) 268-6410
Sole ProprietorNo
Enumeration DateJune 3, 2015
Last NPPES UpdateNovember 25, 20244 updates tracked since enumeration
NPPES CertifiedNovember 25, 2024
✔ NPI 1508246778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in MO · 2018007775
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 2018007775 (MO)
1465 S GRAND BLVD, Saint Louis, MO 63104

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Angela Nicole Lewis M.d. 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 Reassignments

4

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

Internal Medicine
1225 SOUTH GRAND BLVD, 2L - DOOR 3,4
Saint Louis, MO 63104
  • Reassigned Medicare billing, Missouri enrollment
  • 1,294 clinicians in this Medicare group
Emergency Medicine
6420 CLAYTON RD
Saint Louis, MO 63117
  • Reassigned Medicare billing, Missouri enrollment
  • 741 clinicians in this Medicare group
Pediatrics
2927 S . KINGS HIGHWAY BLVD
Saint Louis, MO 63139
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
  • 414 clinicians in this Medicare group
Multi-Specialty
1 HOSPITAL DR
Columbia, MO 65212
  • Reassigned Medicare billing, Missouri enrollment
  • 1,395 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.

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.

Psychologist (Clinical)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Anesthesiologist Assistant
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Dietitian, Registered (Nutrition, Pediatric)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD
ST.LOUIS, MO 63104
Pediatrics (Child Abuse Pediatrics)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Pediatrics
1465 S GRAND BLVD
ST. LOUIS, MO 63104
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD, DIVISION OF PEDIATRIC CRITICAL CARE
SAINT LOUIS, MO 63104

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 Angela Lewis's NPI number?

The NPI number for Angela Lewis is 1508246778. It was assigned to this individual provider in the NPPES registry on June 3, 2015.

Where is Angela Lewis located?

Angela Lewis practices at 1465 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 577-5642.

What is Angela Lewis's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Angela Lewis enrolled in Medicare?

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

Which organizations bill Medicare for Angela Lewis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Lewis reassigns Medicare benefits to 4 organizations: Ssm Health Care Group (Saint Louis, MO), Ssm Health Care St. Louis (Saint Louis, MO), Ssm Cardinal Glennon Childrens Hospital (Saint Louis, MO) and The Curators Of The University Of Missouri (Columbia, MO). 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 Angela Lewis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angela Lewis accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Company list Angela 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 Angela Lewis was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.