Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kevan G Lewis, MD

MOHS-Micrographic Surgery Physician in Green Bay, WI · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1497970560

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Registry record

Entity type Individual (Type 1)

Name Kevan G Lewis

Credential MD

Sex Male

Practice address 3059 Voyager Dr, Green Bay, WI, 54311

Phone (920) 965-0345

Fax (920) 257-4559

Enumeration date Apr 16, 2007

Last updated in NPPES Mar 7, 2023

Taxonomy & licenses

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 53110-20 (WI) Secondary

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 51745 (MN) Secondary

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License LP00514 (RI) Secondary

207ND0101X MOHS-Micrographic Surgery Physician Allopathic & Osteopathic Physicians · License 53110-020 (WI) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
ENROLLED	Medicaid	IA	-
P00787809	Other	MN	RAILROAD MEDICARE
1497970560	Medicaid	WI	-
53110-020	Other	WI	STATE LICENSE
ENROLLED	Medicaid	MN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Kevan Lewis?

Kevan Lewis is registered in NPPES with the primary taxonomy of MOHS-Micrographic Surgery Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.