Active NPI
Alan Bruce Levy, MD
- Psychiatry Physician
- Columbus, OH
National Provider Identifier
1376532135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35049037L
- Practice address
- 3545 Olentangy River Rd
Suite 510
Columbus, OH 43214-3907 - Phone
- (614) 263-5598
- Fax
- (614) 263-5387
- NPI assigned
- Oct 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35049037L | OH | Primary |
Addresses
Primary practice location
3545 Olentangy River Rd
Suite 510
Columbus, OH 43214-3907
Mailing address
3545 Olentangy River Rd
Suite 510
Columbus, OH 43214-3907
Phone (614) 263-5598
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 463013000 | Other | OH | MAGELLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2014 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35049037L | OH | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323907200000",
"number": "1376532135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3545 OLENTANGY RIVER RD",
"address_2": "SUITE 510",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143907",
"telephone_number": "614-263-5598",
"fax_number": "614-263-5387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 OLENTANGY RIVER RD",
"address_2": "SUITE 510",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143907",
"telephone_number": "614-263-5598",
"fax_number": "614-263-5387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "ALAN",
"middle_name": "BRUCE",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-14",
"last_updated": "2011-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35049037L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "463013000",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.