Dr. Lewis R Gergoudis, MD
Family Medicine in Jamaica Plain, Massachusetts
1356839518- Practice location
- 1153 Centre St, Jamaica Plain, MA 02130-3446
- Phone
- 617-983-7300
- Fax
- —
- Last updated
- June 24, 2026
Lewis Richard Gergoudis is a Family Medicine based in Jamaica Plain, MA. Lewis Richard Gergoudis practices in Jamaica Plain, MA and has the professional credentials of MD. The NPI Number for Lewis Richard Gergoudis is 1356839518 and holds a License No. 1025841 (MA). The current practice location address for Lewis Richard Gergoudis is 1153 Centre St, Jamaica Plain, MA 02130-3446 and can be reached out via phone at 617-983-7300.
Provider Profile Details
- NPI Number
- 1356839518
- Provider Name
- Lewis Richard Gergoudis
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1153 Centre St, Jamaica Plain, MA 02130-3446
- Phone Number
- 617-983-7300
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 24, 2018
- Last Update Date
- June 24, 2026
- Certification Date
- June 24, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1153 Centre St
Jamaica Plain, MA 02130-3446 - City
- Jamaica Plain
- State
- Massachusetts
- Zip
- 02130-3446
- Phone Number
- 617-983-7300
Provider Business Mailing Address Details
- Address
- 399 Revolution Dr
Somerville, MA 02145-1484 - City
- Somerville
- State
- MA
- Zip
- 02145-1484
License Information
- License Number
- 1025841
- License State
- MA
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Lewis R Gergoudis, MD?
The NPI number of Dr. Lewis R Gergoudis, MD is 1356839518. It was assigned on April 24, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Lewis R Gergoudis, MD?
Dr. Lewis R Gergoudis, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 1025841.
Where does Dr. Lewis R Gergoudis, MD practice?
The practice location is 1153 Centre St, Jamaica Plain, MA 02130-3446. The office can be reached at 617-983-7300 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356839518 directly on the NPPES registry website.