Giavonni Mystique Lewis, M.D.

NPI 1528222775ActiveIndividual· Surgery, Surgical Critical Care· Salt Lake City, UT

Surgery, Surgical Critical Care (M.D.) in Salt Lake City, Utah, trained at Tufts University School of Medicine (class of 2005). Medicare paid $42,291 for services to 34 patients in 2024.

Overview

NPI	1528222775
Status	Active
Entity type	Individual
Credential	M.D.
Sole proprietor	No
NPI issued	Jul 16, 2008
Last updated in NPPES	Nov 18, 2021
Certified by provider	Nov 18, 2021

Specialties and licenses

Taxonomy	Code	License	State
Surgery, Surgical Critical Care Primary	2086S0102X	8365805-1205	UT
Surgery	208600000X	8365805-1205	UT

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Nov 10, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026	No match	—
New York OMIG · Nov 11, 2026	No match	—
Ohio Medicaid · Nov 11, 2026	No match	—
Pennsylvania Medicheck · Nov 11, 2026	No match	—
Washington HCA · Nov 11, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Practitioner - Critical Care (Intensivists) (UT)
Accepts assignment	Yes (participating)

Medicare services in 2024

Medicare patients	34
Services billed	561 across 33 procedure codes
Paid by Medicare	$42,291

Medicare sources and data years

Education and affiliations

Medical school	Tufts University School of Medicine
Graduation year	2005
Medicare specialty	Critical Care (Intensivists)
Secondary specialties	General Surgery

Medical groups

University of Utah Adult ServicesFarmington, UT · 1,788 clinicians
University of Utah Acuity Care ServicesSalt Lake City, UT · 133 clinicians

Hospital affiliation

University of Utah Hospital and ClinicsSalt Lake City, UT

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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