Individual provider Active NPI

Anthony S Levin, DO

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1073599908
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
009369 Issued in AZ
Practice address
2435 E Greenway Pkwy
Phoenix, AZ 85032-3591
Phone
(602) 755-0800
Fax
(602) 560-2721
NPI assigned
Dec 22, 2005
Last updated
Jun 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 009369 AZ Primary
Family Medicine Physician 207Q00000X OS006973L PA

Addresses

Primary practice location

2435 E Greenway Pkwy
Phoenix, AZ 85032-3591

Mailing address

3003 N Central Ave Ste 1175
Phoenix, AZ 85012-0002
Phone (888) 698-6727

Other identifiers 1

IdentifierTypeStateIssuer
0014726410003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070712000501 PA Practitioner - Family Practice 7113963778 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3372AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rajesh N. Soni, M.D. P.C. Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Main Line Healthcare Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Verde Valley Medical Center Past Accepting new patients
TPS III of PA, LLC Past Accepting new patients

Locations

14825 E Shea Blvd
Ste 105A
Fountain Hills, AZ 85268

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

306 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 476-7222

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1073599908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE STE 1175",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850120002",
            "telephone_number": "888-698-6727",
            "fax_number": "602-564-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 E GREENWAY PKWY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323591",
            "telephone_number": "602-755-0800",
            "fax_number": "602-560-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "ANTHONY",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "009369",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS006973L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014726410003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.