Individual provider Active NPI

Mark H. Levy, M.D.

  • Internal Medicine Physician
  • Skokie, IL
National Provider Identifier
1255433728
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036086345 Issued in IL
Practice address
4959 Golf Rd
Skokie, IL 60077-1537
Phone
(847) 433-3737
Fax
(224) 534-7327
NPI assigned
Sep 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036086345 IL Primary

Addresses

Primary practice location

4959 Golf Rd
Skokie, IL 60077-1537

Mailing address

60 Avon Rd
Northbrook, IL 60062-1327
Phone (708) 239-8513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20110420000597 IL Practitioner - Internal Medicine 4183809981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4959 Golf Rd
Skokie, IL 60077-1537
Phone (708) 239-8513

Hospital & facility affiliations

  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036086345ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Internal Medicine Physicians S C Internal Medicine CurrentSince Jun 23, 2001 Accepting new patients

Locations

777 Park Ave W
Highland Park, IL 60035
Phone (847) 480-3744

4959 Golf Rd
Skokie, IL 60077
Phone (847) 410-8416

Interoperability endpoints

  • Direct secure messaging: mark.levy.1@3992.direct.athenahealth.com

Organizations & group practices 1

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 5

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": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1255433728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 AVON RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621327",
            "telephone_number": "708-239-8513",
            "fax_number": "224-534-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 GOLF RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771537",
            "telephone_number": "847-433-3737",
            "fax_number": "224-534-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "MARK",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036086345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.