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DR. JACK EDWARD LEWI M.D.
NPI 1720077811
Internal Medicine - Endocrinology, Diabetes & Metabolism in Fort Sam Houston, TX

Active since October 20, 2005PECOS Enrolled
3551 ROGER BROOKE DR, ATTN: MCHE-MDE, FORT SAM HOUSTON, TX 78234(210) 916-8589(210) 916-3877 Get Directions Write a Review

NPPES record last updated: June 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack Edward Lewi M.d. NPPES

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

DR. JACK EDWARD LEWI M.D. (NPI 1720077811) is an individual endocrinology, diabetes & metabolism provider in Fort Sam Houston, Texas, licensed in Texas (K0336) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720077811
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. JACK EDWARD LEWICredential: M.D.
Location Address3551 ROGER BROOKE DR, ATTN: MCHE-MDEFort Sam Houston, TX 78234-4504
Mailing Address3551 Roger Brooke Drive -mche-mde, Brooke Army Medical CenterFort Sam Houston, TX 78234-6200 · (210) 916-8589 · Fax (210) 916-3877
Phone(210) 916-8589
Fax(210) 916-3877
Sole ProprietorNo
Enumeration DateOctober 20, 2005
Last NPPES UpdateJune 5, 2013
✔ NPI 1720077811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in TX · K0336
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
3551 ROGER BROOKE DR, Fort Sam Houston, TX 78234
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack Edward Lewi 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78234 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JANET JONES SIMS CRNA
Nurse Anesthetist, Certified Registered
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (253) 223-6272
JAMES KENNEDY HARDIN PA-C
Physician Assistant
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234
Bexar County (210) 295-4996
DR. DANIEL VICTOR-CALVIN HAMMOND M.D.
Pediatrics (Pediatric Endocrinology)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 916-3020
JESSICA FULLER LCSW
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 808-1859
DR. JASON ROBERT HALL M.D.
Neurological Surgery
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 539-9582
MRS. KATHRYN ELAINE HELLAND LCSW
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 539-9582
DR. HALWARD BLEGEN IV DO
Ophthalmology
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234
Bexar County (210) 220-7419
KOLE HOLLAND SPAULDING M.D.
Emergency Medicine (Emergency Medical Services)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 539-9582

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 Jack Lewi's NPI number?

The NPI number for Jack Lewi is 1720077811. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Where is Jack Lewi located?

Jack Lewi practices at 3551 Roger Brooke Dr Attn: Mche-Mde, Fort Sam Houston, TX 78234. The listed phone number is (210) 916-8589.

What is Jack Lewi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Jack Lewi enrolled in Medicare?

Yes. Jack Lewi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Lewi was last updated on June 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.