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

Dr. Creighton Lewis, MD

Individual provider Diagnostic Radiology Physician · NPI 1376920553

Dr. Creighton Lewis, MD is a Diagnostic Radiology in Boise, Idaho. Graduated from University of Utah School of Medicine in 2015, 11 years ago. Practices with St Lukes Clinic LLC, a 310-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
11
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

500 W Fort St #111R Boise Vamc
Boise, ID 83702
Phone: (208) 220-6546
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 11682730-1205 (UT)

Record details

NPI number1376920553
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 27, 2015
Last updated in NPPESJune 9, 2020
Certification dateJune 9, 2020

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice St Lukes Clinic Llc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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