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

Dr. Andrew William Lewis, DO

Individual provider Family Medicine Physician · NPI 1164952420

Dr. Andrew William Lewis, DO is a Family Practice in Boise, Idaho. Qualified in 2017, 9 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
9
Licensed in
ID
In the registry since
2017
Specialties on file
2
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

701 E Parkcenter Blvd
Boise, ID 83706-6528
Phone: (208) 381-6500
Fax: (208) 381-6505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 880 W Quinn Rd, Pocatello, ID 83202-2454 — (208) 232-7862

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence O-1174 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence MRO-1661 (ID)

Record details

NPI number1164952420
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 19, 2017
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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