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

Dr. John Derek Lewis, MD

Individual provider Diagnostic Radiology Physician · NPI 1396916656

Dr. John Derek Lewis, MD is a Diagnostic Radiology in Waukesha, Wisconsin. Qualified in 2005, 21 years ago. Practices with Lakeshore Medical Clinic LLC, a 379-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
21
Licensed in
IL, WI
In the registry since
2008
Specialties on file
2
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

W231N1440 Corporate Ct
Waukesha, WI 53186-1503
Phone: (262) 896-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2346 Linden Leaf Dr, Glenview, IL 60025-2766 — (224) 616-3136

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 55883 (WI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036125315 (IL)

Record details

NPI number1396916656
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 14, 2008
Last updated in NPPESMay 7, 2024
Certification dateMay 7, 2024
Mailing addressPo Box 735044, Chicago, IL 60673-5044

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Lakeshore Medical Clinic Llc — 379 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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