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

Dr. Derek Lewis, MD

Individual provider Family Medicine Physician · NPI 1407810641

Dr. Derek Lewis, MD is registered under Family Practice in Little Rock, Arkansas. Qualified in 1984, 42 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Arkansas.

Years since qualifying
42
Licensed in
AR
In the registry since
2006
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

6209 W 12th St
Little Rock, AR 72204-1505 Not confirmed with CMS for 16 years — call before visiting
Phone: (501) 663-5221
Fax: (501) 663-6759
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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 C6631 (AR)

Record details

NPI number1407810641
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2006
Last updated in NPPESAugust 2, 2010

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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