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

Maryellen Cathleen Lewis, MD

Individual provider Family Medicine Physician · NPI 1114133402

Maryellen Cathleen Lewis, MD is a Family Practice in Syracuse, New York. Graduated from State University of Ny Upstate Medical University in 2007, 19 years ago. Practices with St Josephs Hospital Health Center, a 108-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
19
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2007
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

216 Seymour St
Syracuse, NY 13204-3208
Phone: (315) 703-2600
Fax: (315) 703-2601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 257779 (NY)

Record details

NPI number1114133402
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 15, 2007
Last updated in NPPESOctober 17, 2014

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2007 (19 years in practice)
Group practice St Josephs Hospital Health Center — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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