Individual provider Active NPI

Frederic Evan Levy, M.D.

  • Otolaryngology Physician
  • Gastonia, NC
National Provider Identifier
1003801606
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
9400559 Issued in NC
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

Updated by the provider on Jul 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5177XOtherNCBLUE CROSS BLUE SHIELD
72586OtherNCMEDCOST
N00559OtherSCSOUTH CAROLINA MEDICAID
2084887005OtherNCCIGNA HEALTHCARE
10-41162OtherNCUNITED HEALTHCARE
11536OtherNCPARTNERS HEALTHPLAN
2031685OtherNCAETNA HEALTHPLAN
2103800OtherNCMAMSI
343002OtherNCCOVENTRY HEALTHCARE
895177XMedicaidNC
040008664OtherRAILROAD MEDICARE
168235OtherNCMIDSOUTH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100222000723 NC Practitioner - Otolaryngology 4981608155 Reassigns benefits to 1 organization

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
ENT Carolina PAGroup PAC ID 1456363407, 14 clinicians

Practice addresses (Care Compare)

2520 Aberdeen Blvd
Gastonia, NC 28054-0635
Phone (704) 868-8400

Hospital & facility affiliations

  • Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032
  • Atrium Health Cleveland Hospital, Shelby, NC, CCN 340021

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
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

LicenseStateTypeSpecialty
94-00559NCMDSpecialist
9400559NCMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Carolina PA Specialist CurrentSince Jul 1, 1994 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

  • Direct secure messaging: flevy@entcarolina.gwaydirect.com
  • FHIR API: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": [
        {
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            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
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        },
        {
            "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

Verify at the official NPI Registry.