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

Shyqual M Lewis, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063158970

Shyqual M Lewis, MD is an Emergency Medicine in Utica, New York. Qualified in 2019, 7 years ago. Practices with Emergency Physician Services of New York, PC, a 130-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

120 Hobart St
Utica, NY 13501-4308
Phone: (315) 798-1149
Fax: (315) 734-3565
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 339188 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063158970
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 12, 2022
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Emergency Physician Services Of New York, P.C. — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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