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

Mary M Lewis, MA-CCCA

Individual provider Audiologist · NPI 1073537379

Mary M Lewis, MA-CCCA is a Qualified Audiologist in Des Peres, Missouri. Qualified in 1975, 51 years ago. Practices with Urology of St Louis Inc, a 111-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
51
Licensed in
MO
In the registry since
2006

Practice location Address checks out

1010 Old Des Peres Rd
Des Peres, MO 63131-1865
Phone: (314) 729-0077
Show map & directions

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

Additional practice locations (1)

  • 505 Couch Ave, Saint Louis, MO 63122-5568 — (314) 965-9184

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 1999136547 (MO)

Record details

NPI number1073537379
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA-CCCA
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025

Medicare enrollment

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

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 1975 (51 years in practice)
Group practice Urology Of St Louis Inc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Des Peres