DR. GIAVONNI MYSTIQUE LEWIS M.D.
NPI 1528222775
Surgery - Surgical Critical Care in Salt Lake City, UT
About Dr. Giavonni Mystique Lewis M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GIAVONNI MYSTIQUE LEWIS M.D. (NPI 1528222775) is an individual surgical critical care provider in Salt Lake City, Utah, licensed in Utah (8365805-1205) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Tufts University School Of Medicine (2005).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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. Giavonni Mystique Lewis M.d. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Giavonni Lewis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salt Lake City, UT 84132
- Reassigned Medicare billing, Utah enrollment
- 338 clinicians in this Medicare group
Salt Lake City, UT 84132
- Reassigned Medicare billing, Utah enrollment
- 2,620 clinicians in this Medicare group
Salt Lake City, UT 84132
- Reassigned Medicare billing, Utah enrollment
- 751 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Utah Hospitals And Clinics
Acute Care Hospitals · Salt Lake City, UTMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
SALT LAKE CITY, UT 84132
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 Giavonni Lewis's NPI number?
The NPI number for Giavonni Lewis is 1528222775. It was assigned to this individual provider in the NPPES registry on July 16, 2008.
Where is Giavonni Lewis located?
Giavonni Lewis practices at 50 N Medical Dr, Salt Lake City, UT 84132. The listed phone number is (801) 581-8990.
What is Giavonni Lewis's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.
Is Giavonni Lewis enrolled in Medicare?
Yes. Giavonni 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 Giavonni Lewis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Giavonni Lewis reassigns Medicare benefits to 3 organizations: University Of Utah Acuity Care Services (Salt Lake City, UT), University Of Utah Adult Services (Salt Lake City, UT) and University Of Utah Pediatric Services (Salt Lake City, UT). 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 Giavonni Lewis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Giavonni Lewis accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Giavonni 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.
Is Giavonni Lewis affiliated with any hospitals?
According to CMS data, Giavonni Lewis is affiliated with University Of Utah Hospitals And Clinics.
When was this NPI record last updated?
The NPPES record for Giavonni Lewis was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Giavonni Mystique Lewis, M.D. · NPI 1528222775
Surgical Critical Care physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since July 16, 2008.
## Identity
- **NPI:** 1528222775 (Entity type: Individual)
- **Enumerated:** July 16, 2008
- **Primary specialty:** Surgery - Surgical Critical Care · taxonomy 2086S0102X
- **State license:** 8365805-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 50 N MEDICAL DR, Salt Lake City, UT 84132-0100
- **Phone:** (801) 581-8990 · **Fax:** (801) 585-6005
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Of Utah Acuity Care Services (NPI 1407250541, Salt Lake City, UT); University Of Utah Adult Services (NPI 1003210808, Salt Lake City, UT); University Of Utah Pediatric Services (NPI 1568826055, Salt Lake City, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tufts University School Of Medicine, class of 2005
## Record status
- **NPPES last updated:** November 18, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1528222775) · Data from the CMS NPPES public registry.