Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cody Glenn Lewis, DO

Individual provider Anesthesiology Physician · NPI 1265061634

Cody Glenn Lewis, DO is an Anesthesiology in Rochester, New York. Graduated from Alabama College of Osteopathic Medicine in 2020, 6 years ago. Practices with Newark Wayne Community Hospital, a 133-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Trained at
Alabama College of Osteopathic Medicine
Licensed in
NY
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1425 Portland Ave
Rochester, NY 14621-3011
Phone: (585) 922-4159
Fax: (585) 922-3731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 2 Coulter Rd, Clifton Springs, NY 14432-1122 — (315) 462-1417
  • 1200 Driving Park Ave, Newark, NY 14513-1090 — (315) 332-2170
  • 130 Allens Creek Rd, Rochester, NY 14618-3305 — (585) 410-6545
  • 1555 Long Pond Rd, Rochester, NY 14626-4164 — (585) 723-7000

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 329025 (NY)

Record details

NPI number1265061634
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 7, 2020
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolALABAMA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice Newark Wayne Community Hospital — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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