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

Mr. Nicholas J Lewis, MD

Individual provider Pediatrics Physician · NPI 1134372386

Mr. Nicholas J Lewis, MD is an Internal Medicine in Eagle, Idaho. Graduated from University of Utah School of Medicine in 2007, 19 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
19
Trained at
University of Utah School of Medicine
Licensed in
ID
In the registry since
2008
Specialties on file
3
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

3101 E State St Ste AND2107
Eagle, ID 83616-6232
Phone: (208) 473-3500
Fax: (208) 473-3510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1818 S 10th Ave, Caldwell, ID 83605-4803 — (208) 468-5959
  • 6357 N. Fox Run Way, Meridian, ID 83646 — (208) 960-0966

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence M-11279 (ID)
Pediatrics Physician Taxonomy 208000000X · Licence M-11279 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1134372386
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 1, 2008
Last updated in NPPESMarch 1, 2024
Certification dateMarch 1, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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