ALICE-GRAY LEWIS DO
NPI 1568953842
Family Medicine in Hometown, IL
About Alice-gray Lewis Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALICE-GRAY LEWIS DO (NPI 1568953842) is an individual family medicine provider in Hometown, Illinois, licensed in Illinois (125.072035) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Chicago College Of Osteopathy (2018).
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 and accepts Medicare assignment
Alice-gray 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.
Medicare Billing Reassignment
Medicare enrollment records show Alice-gray Lewis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 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 60456 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 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOMETOWN, IL 60456
HOMETOWN, IL 60456
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 Alice-gray Lewis's NPI number?
The NPI number for Alice-gray Lewis is 1568953842. It was assigned to this individual provider in the NPPES registry on May 23, 2018.
Where is Alice-gray Lewis located?
Alice-gray Lewis practices at 4140 Southwest Hwy, Hometown, IL 60456. The listed phone number is (708) 422-5700.
What is Alice-gray Lewis's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Alice-gray Lewis enrolled in Medicare?
Yes. Alice-gray 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 organization bills Medicare for Alice-gray Lewis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alice-gray Lewis reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Alice-gray 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 Alice-gray Lewis was last updated on February 11, 2022. 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.
# Alice-Gray Lewis, DO · NPI 1568953842
Family Medicine physician in Hometown, Illinois. Individual provider, active in the CMS NPPES registry since May 23, 2018.
## Identity
- **NPI:** 1568953842 (Entity type: Individual)
- **Enumerated:** May 23, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 125.072035 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4140 SOUTHWEST HWY, Hometown, IL 60456-1135
- **Phone:** (708) 422-5700 · **Fax:** (708) 422-8225
## 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:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Chicago College Of Osteopathy, class of 2018
## Record status
- **NPPES last updated:** February 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1568953842) · Data from the CMS NPPES public registry.