Provider Demographics
NPI:1447285465
Name:LEWIS, AARON MICHAEL (MD)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:MICHAEL
Last Name:LEWIS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9040 QUIVIRA RD
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-3902
Mailing Address - Country:US
Mailing Address - Phone:913-944-4900
Mailing Address - Fax:
Practice Address - Street 1:9040 QUIVIRA RD
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-3902
Practice Address - Country:US
Practice Address - Phone:913-944-4900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20050217022085R0202X
KS04-315392085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200707310AMedicaid
KS200727310BMedicaid
MOP00961675OtherRR MEDICARE
KS110527008Medicare PIN
KSJ96A00008Medicare PIN
KSW24000015Medicare PIN
KS200727310BMedicaid
MOJ96B00014Medicare PIN