Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MICHAEL RAY LEWIS M.D.
NPI 1568409878
Specialist in Gulfport, MS

Q: What is Michael Lewis's NPI number?

The NPI number for Michael Lewis is 1568409878. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Q: What is Michael Lewis's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: Is Michael Lewis enrolled in Medicare?

No. Michael Lewis has opted out of Medicare through December 31, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Michael Lewis was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.

Active since June 02, 2006Opted out of Medicare · through Dec 31, 2027

4500 OLD PASS RD, GULFPORT, MS 39501(228) 865-7890(228) 868-7402 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Michael Ray Lewis M.d. NPPES

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

DR. MICHAEL RAY LEWIS M.D. (NPI 1568409878) is an individual specialist in Gulfport, Mississippi, licensed in Mississippi (13326) and active in the NPI registry since June 2006. He has opted out of Medicare through December 31, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1568409878

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. MICHAEL RAY LEWISCredential: M.D.

Location Address4500 OLD PASS RDGulfport, MS 39501-2585

Mailing Address4500 Old Pass RdGulfport, MS 39501-2585 · (228) 865-7890 · Fax (228) 868-7402

Phone(228) 865-7890

Fax(228) 868-7402

Sole ProprietorYes

Enumeration DateJune 2, 2006

Last NPPES UpdateSeptember 29, 2026

✔ NPI 1568409878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MS · 13326

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4500 OLD PASS RD, Gulfport, MS 39501

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Other Identifiers 2

Other060065909MS · Medicare Secondary Payor

Medicaid00116618MS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Michael Ray Lewis M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 31, 2015 through December 31, 2027.

Opt-Out Effective DateDecember 31, 2015

Opt-Out In Effect ThroughDecember 31, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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