Individual provider Active NPI

Yefim Levy, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1063580413
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25933 Issued in NV
Practice address
4015 S Buffalo Dr Ste 1
Las Vegas, NV 89147-7455
Phone
(725) 293-4602
Fax
(725) 293-5351
NPI assigned
Dec 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X YL058737 MI
Internal Medicine Physician 207R00000X 25933 NV Primary

Addresses

Primary practice location

4015 S Buffalo Dr Ste 1
Las Vegas, NV 89147-7455

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151

Other practice location 1

24777 Greenfield Rd
Southfield, MI 48075-3065
Phone (248) 559-1950

Other identifiers 1

IdentifierTypeStateIssuer
4467055MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180320001490 HI Practitioner - Internal MedicinePractitioner - General Practice 5496797631
I20250408003105 NV Practitioner - Internal Medicine 5496797631 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
YL058737MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Archwell Health Professional Services of Nevada, P.C. Internal Medicine CurrentSince Feb 27, 2025 Accepting new patients
MMG 1 PC Internal Medicine Past Accepting new patients

Locations

1501 W Sunset Rd
Henderson, NV 89014
Phone (725) 269-7001

4015 S Buffalo Dr
Ste 1
Las Vegas, NV 89147
Phone (725) 293-4602

4015 S Buffalo Dr
Las Vegas, NV 89147
Phone (702) 876-3215

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Interoperability endpoints

  • Direct secure messaging: ylevy61937@direct.hfhs.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1063580413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "888-987-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 S BUFFALO DR STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477455",
            "telephone_number": "725-293-4602",
            "fax_number": "725-293-5351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24777 Greenfield Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480753065",
            "country_code": "US",
            "telephone_number": "248-559-1950",
            "fax_number": "248-559-1731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVY",
        "first_name": "YEFIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-02",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "YL058737",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "25933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4467055",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.