DR. CHARRON MCKENZIE LEWIS M.D.
NPI 1831516962
Pediatrics - Developmental - Behavioral Pediatrics in Chicago, IL

Q: What is Charron Lewis's NPI number?

The NPI number for Charron Lewis is 1831516962. It was assigned to this individual provider in the NPPES registry on March 26, 2014.

Q: What is Charron Lewis's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Q: When was this NPI record last updated?

The NPPES record for Charron Lewis was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 26, 2014PECOS Enrolled

5841 S MARYLAND AVE # MC8016, CHICAGO, IL 60637(773) 834-6822(773) 702-0208 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Sep 4, 2018, Jun 26, 2017 (3 updates tracked since 2017).

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About Dr. Charron Mckenzie Lewis M.d. NPPES

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

DR. CHARRON MCKENZIE LEWIS M.D. (NPI 1831516962) is an individual developmental - behavioral pediatrics provider in Chicago, Illinois, licensed in Illinois (036143391) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831516962

Entity TypeIndividualFemale

Primary Taxonomy2080P0006X

Provider Legal NameDR. CHARRON MCKENZIE LEWISCredential: M.D.

Location Address5841 S MARYLAND AVE # MC8016Chicago, IL 60637

Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150

Phone(773) 834-6822

Fax(773) 702-0208

Sole ProprietorNo

Enumeration DateMarch 26, 2014

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1831516962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians

Taxonomy Code2080P0006X

License✔ Licensed in IL · 036143391

Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

5841 S MARYLAND AVE # MC8016, Chicago, IL 60637

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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. Charron Mckenzie 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.

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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.

MAHI KAUR SINGH MD

Student in an Organized Health Care Education/Training Program