Active NPI
Frederic Evan Levy, M.D.
- Otolaryngology Physician
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 9400559
- Practice address
- 2520 Aberdeen Blvd
Gastonia, NC 28054-0635 - Phone
- (704) 868-8400
- Fax
- (704) 868-8493
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 94-00559 | NC | |
| Otolaryngology Physician | 207Y00000X | 9400559 | NC | Primary |
Addresses
Primary practice location
2520 Aberdeen Blvd
Gastonia, NC 28054-0635
Mailing address
2520 Aberdeen Blvd
Gastonia, NC 28054-0635
Phone (704) 868-8400
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5177X | Other | NC | BLUE CROSS BLUE SHIELD |
| 72586 | Other | NC | MEDCOST |
| N00559 | Other | SC | SOUTH CAROLINA MEDICAID |
| 2084887005 | Other | NC | CIGNA HEALTHCARE |
| 10-41162 | Other | NC | UNITED HEALTHCARE |
| 11536 | Other | NC | PARTNERS HEALTHPLAN |
| 2031685 | Other | NC | AETNA HEALTHPLAN |
| 2103800 | Other | NC | MAMSI |
| 343002 | Other | NC | COVENTRY HEALTHCARE |
| 895177X | Medicaid | NC | |
| 040008664 | Other | RAILROAD MEDICARE | |
| 168235 | Other | NC | MIDSOUTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Rush Medical College of Rush University, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2520 Aberdeen Blvd
Gastonia, NC 28054-0635
Phone (704) 868-8400
Hospital & facility affiliations
- Caromont Regional Medical Center
- Atrium Health Cleveland
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94-00559 | NC | MD | Specialist |
| 9400559 | NC | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT Carolina PA | Specialist | Current | Accepting new patients |
| ENT Carolina PA | Specialist | Past | Accepting new patients |
Locations
209 Park St
Ste 500
Belmont, NC 28012
Phone (704) 341-9600
2520 Aberdeen Blvd
Gastonia, NC 28054
Phone (704) 868-8400
1180 Wyke Rd
Shelby, NC 28150
Phone (704) 487-9100
Interoperability endpoints
- flevy@entcarolina.gwaydirect.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Gastonia, NC
- NPI 1699760702
-
- Specialist
- Shelby, NC
- NPI 1346471976
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Shelby, NC
- NPI 1669348991
-
- General Acute Care Hospital
- Gastonia, NC
- NPI 1013918960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657238400000",
"number": "1003801606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 ABERDEEN BLVD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280540635",
"telephone_number": "704-868-8400",
"fax_number": "704-868-8493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 ABERDEEN BLVD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280540635",
"telephone_number": "704-868-8400",
"fax_number": "704-868-8493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "FREDERIC",
"middle_name": "EVAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2022-07-08",
"certification_date": "2022-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "94-00559",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NC",
"license": "9400559",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5177X",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "72586",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTH CAROLINA MEDICAID",
"identifier": "N00559",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "2084887005",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "10-41162",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS HEALTHPLAN",
"identifier": "11536",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTHPLAN",
"identifier": "2031685",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2103800",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HEALTHCARE",
"identifier": "343002",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "895177X",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "040008664",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDSOUTH",
"identifier": "168235",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.