Individual provider Active NPI

Avi Bar-Lev, M.D.

  • Hematology & Oncology Physician
  • Appleton, WI
National Provider Identifier
1124163407
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
34305 Issued in WI
Practice address
900 E Grant St
Appleton, WI 54911-3487
Phone
(920) 749-1171
NPI assigned
Feb 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 34305 WI Primary

Addresses

Primary practice location

900 E Grant St
Appleton, WI 54911-3487

Mailing address

900 E Grant St
Appleton, WI 54911-3487
Phone (920) 749-1171

Other identifiers 3

IdentifierTypeStateIssuer
31940400MedicaidWI
391682233013OtherWIBCBS
W007233OtherWICHAMPUS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Hematology & Oncology, S.C. Hematology & Oncology Past Accepting new patients
Fox Valley Hematology & Oncology S C PastSince Jul 19, 1999 Accepting new patients
Fox Valley Hematology & Oncology, S.C. Hematology & Oncology Past Accepting new patients
Fox Valley Hematology & Oncology, S.C. Hematology & Oncology Past Accepting new patients
Fox Valley Hematology & Oncology, S.C. Hematology & Oncology Past Accepting new patients
Fox Valley Hematology & Oncology, S.C. Hematology & Oncology Past Accepting new patients
Fox Valley Hematology & Oncology, S.C. Hematology & Oncology Past Accepting new patients
Fox Valley Hematology & Oncology, S.C. Hematology & Oncology Past Accepting new patients
Fox Valley Hematology & Oncology, S.C. Hematology & Oncology Past Accepting new patients
Fox Valley Hematology & Oncology, S.C. Hematology & Oncology Past Accepting new patients

Organizations & group practices 10

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124163407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E GRANT ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549113487",
            "telephone_number": "920-749-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E GRANT ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549113487",
            "telephone_number": "920-749-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAR-LEV",
        "first_name": "AVI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WI",
            "license": "34305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31940400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "391682233013",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "W007233",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.