CHARLES LEWIS MD PROFESSIONAL CORPORATION
NPI 1972780575
Psychiatry & Neurology - Psychiatry in La Mesa, CA

Active since January 25, 2008
8318 UNIVERSITY AVE, SUITE A5, LA MESA, CA 91942(619) 579-2187(619) 579-2187 Get Directions Write a Review

NPPES record last updated: November 3, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Charles Lewis Md Professional Corporation NPPES

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

CHARLES LEWIS MD PROFESSIONAL CORPORATION (NPI 1972780575) is a healthcare organization registered as a psychiatry in La Mesa, California and active in the NPI registry since January 2008. The organization lists Stephanie E Shell, Billing Agent, as its authorized official.

NPPES Registry Identity

NPI1972780575
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameCHARLES LEWIS MD PROFESSIONAL CORPORATION
Location Address8318 UNIVERSITY AVE, SUITE A5La Mesa, CA 91942-3865
Mailing Address8318 University Ave, Suite A5La Mesa, CA 91942-9358 · (619) 579-2187 · Fax (619) 579-2187
Fax(619) 579-2187
Organization SubpartNo
Authorized OfficialStephanie E ShellBilling Agent · (760) 539-7700
Enumeration DateJanuary 25, 2008
Last NPPES UpdateNovember 3, 2014
✔ NPI 1972780575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · C33286
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License LCS9115 (CA)
8318 UNIVERSITY AVE, La Mesa, CA 91942

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Lewis Md Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20101011000458Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Charles Lewis MD Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Psychiatry
NPI 1346271194
8318 UNIVERSITY AVE SUITE A5
La Mesa, CA 91942
(619) 579-2187
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Charles Lewis MD Professional Corporation's NPI number?

The NPI number for Charles Lewis MD Professional Corporation is 1972780575. It was assigned to this organization in the NPPES registry on January 25, 2008.

Where is Charles Lewis MD Professional Corporation located?

Charles Lewis MD Professional Corporation is located at 8318 University Ave Suite A5, La Mesa, CA 91942. The listed phone number is (619) 579-2187.

What is Charles Lewis MD Professional Corporation's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Charles Lewis MD Professional Corporation enrolled in Medicare?

Yes. Charles Lewis MD Professional Corporation is registered in the Medicare PECOS enrollment system.

When is Charles Lewis MD Professional Corporation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Charles Lewis MD Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Charles Lewis MD Professional Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Charles Lewis MD Professional Corporation was last updated on November 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.