Organization Active NPI

Levin Family Medicine, LLC

  • Family Medicine Physician
  • Greensburg, PA
National Provider Identifier
1174702203
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LEVIN FAMILY MEDICINE, LLC
Practice address
259 Old Route 30
Suite C
Greensburg, PA 15601-6992
Phone
(724) 216-9300
Fax
(724) 216-9302
NPI assigned
Oct 25, 2007
Last updated
Nov 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Authorized official

Name
Matthew Levin, MDNPI 1265445753
Title
Owner
Phone
(724) 216-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

259 Old Route 30
Suite C
Greensburg, PA 15601-6992

Mailing address

259 Old Route 30
Suite C
Greensburg, PA 15601-6992
Phone (724) 216-9300

Other identifiers 6

IdentifierTypeStateIssuer
P00442997OtherPARAILROAD MEDICARE
233445200OtherPAINDEPENDENCE BLUE SHIELD
312560OtherHEALTH AMERICA
3723448OtherAETNA
1658189OtherPAHIGHMARK BLUE SHIELD
252235OtherUPMC HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110502000317 PA Part B Supplier - Clinic/Group Practice 9537344817 Receives reassigned benefits from 1 practitioner
Practice locations: Greensburg, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1174702203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 OLD ROUTE 30",
            "address_2": "SUITE C",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016992",
            "telephone_number": "724-216-9300",
            "fax_number": "724-216-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 OLD ROUTE 30",
            "address_2": "SUITE C",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016992",
            "telephone_number": "724-216-9300",
            "fax_number": "724-216-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVIN FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-216-9300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00442997",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE SHIELD",
            "identifier": "233445200",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "312560",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3723448",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1658189",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN",
            "identifier": "252235",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.