NPIMap

Individual provider Active NPI

Mark Alan Levstik, DO

  • Family Medicine Physician
  • Thornton, CO
National Provider Identifier
1255303459
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41256 Issued in CO
Practice address
13421 Quebec Street
Thornton, CO 80602
Phone
(036) 731-5703
Fax
(036) 731-3313
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 41256 CO Primary

Addresses

Primary practice location

13421 Quebec Street
Thornton, CO 80602

Mailing address

3814 E 120TH Ave
Thornton, CO 80233-1608
Phone (303) 452-2046

Other identifiers 1

IdentifierTypeStateIssuer
71606840MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031209001046 CO Practitioner - Family Practice 8729983085 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Intermountain Medical Group Denver LLCGroup PAC ID 0840513552, 571 clinicians

Practice addresses (Care Compare)

Broomfield, CO 80021
Phone (720) 807-4461

15389 W 91St Dr
Arvada, CO 80007-1400

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

Hospital & facility affiliations

  • Intermountain Health Homecare - Denver Home health agency, Denver, CO, CCN 067201
  • Intermountain Health Lutheran Hospital Hospital, Wheat Ridge, CO, CCN 060009
  • Intermountain Health Platte Valley Hospital Hospital, Brighton, CO, CCN 060004
  • Good Samaritan Medical Center LLC Hospital, Lafayette, CO, CCN 060116

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41256COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New West Physicians Inc Family Medicine CurrentSince Aug 10, 2022 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Dec 1, 2014 Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Nov 4, 2023 Accepting new patients
New West Physicians Inc Family Medicine CurrentSince Aug 10, 2022 Accepting new patients
Platte Valley Medical Group, LLC Family Medicine CurrentSince Nov 4, 2023 Accepting new patients
Intermountain Medical Group Denver, LLC Family Medicine Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Dec 1, 2014 Accepting new patients
Valley-Wide Health Systems, Inc. Past Accepting new patients

Locations

7950 Kipling St
Ste 101
Arvada, CO 80005
Phone (303) 425-4680

15389 W 91st Dr
Ste 100
Arvada, CO 80007
Phone (303) 603-9300

2055 W 136th Ave
#B118
Broomfield, CO 80023

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

1707 Cole Blvd
Ste 100
Lakewood, CO 80401
Phone (303) 716-8013

13421 Quebec St
Thornton, CO 80602
Phone (303) 498-2850

Organizations & group practices 8

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 8

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1255303459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3814 E 120TH AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802331608",
            "telephone_number": "303-452-2046",
            "fax_number": "303-280-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13421 QUEBEC STREET",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "80602",
            "telephone_number": "036-731-5703",
            "fax_number": "036-731-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVSTIK",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "41256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71606840",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.