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

Dr. Lewis Richard Gergoudis, MD

Individual provider Family Medicine Physician · NPI 1356839518

Dr. Lewis Richard Gergoudis, MD is a Family Practice in Jamaica Plain, Massachusetts. Graduated from Virginia Commonwealth University, School of Medicine in 2018, 8 years ago. Practices with East Carolina University, a 498-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
8
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
MA
In the registry since
2018
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

1153 Centre St
Jamaica Plain, MA 02130-3446
Phone: (617) 983-7300
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 1025841 (MA)

Record details

NPI number1356839518
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2018
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice East Carolina University — 498 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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