Active NPI
Mark Alexander Lebehn, M.D.
- Cardiovascular Disease Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 297445
- Practice address
- 161 Fort Washington Ave
New York, NY 10032-3729 - Phone
- (212) 342-0444
- NPI assigned
- Jun 15, 2011
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 297445 | NY | |
| Cardiovascular Disease Physician | 207RC0000X | MD-17664 | HI | |
| Cardiovascular Disease Physician | 207RC0000X | 297445 | NY | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 136320 | WI | |
| Cardiovascular Disease Physician | 207RC0000X | 0440598 | KS |
Addresses
Primary practice location
161 Fort Washington Ave
New York, NY 10032-3729
Mailing address
630 W 168TH St # 4
New York, NY 10032-3725
Other practice location 1
707 E Main St
Middletown, NY 10940-2650
Phone (845) 333-7575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437444643 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mlebehn73884@direct.garnethealth.org | Direct | Garnet Health Doctors PC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- George Washington University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1100 Van Ness Ave
San Francisco, CA 94109-6978
Phone (415) 600-0140
Hospital & facility affiliations
- California Pacific Medical Center- Van Ness Campus
- Alta Bates Summit Medical Center
- California Pacific Medical Ctr-Davies Campus Hosp
- California Pacific Medical Center - Mission Bernal
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 297445 | NY | MD | Internal Medicine Physician |
| 136320 | WI | MD | Cardiovascular Disease Physician |
| 136 | WI | MD | Perfusionist |
Practice roles (10 of 14)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| The Medical College of Wisconsin, Inc. | Internal Medicine | Current | Accepting new patients |
| Garnet Health Doctors PC | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Internal Medicine | Current | Accepting new patients |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Internal Medicine | Current | Accepting new patients |
| Sutter East Bay Medical Foundation | Internal Medicine | Past | Accepting new patients |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations (25 of 28)
18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590
350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920
1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505
1100 Van Ness Ave
San Francisco, CA 94109
Phone (415) 600-5760
1100 Van Ness Ave
Fl 5
San Francisco, CA 94109
Phone (415) 600-0440
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
707 E Main St
Middletown, NY 10940
Phone (845) 333-1000
630 W 168th St
#4
New York, NY 10032
Phone (212) 305-6387
161 Fort Washington Ave
Fl 6
New York, NY 10032
Phone (212) 305-2708
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
630 W 168th St
New York, NY 10032
Phone (212) 305-1948
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- mlebehn73884@direct.garnethealth.org
- mal9363@direct.nyp.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- mlebehn718792@hisp.ehr.sutterhealth.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- General Practice Physician
- Middletown, NY
- NPI 1093138851
-
- Surgery Physician
- New York, NY
- NPI 1508266347
Internal Medicine
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
-
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
Internal Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1295181477
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1659439834
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1730238007
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1740348929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1437444643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 W 168TH ST # 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 FORT WASHINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323729",
"telephone_number": "212-342-0444"
}
],
"practiceLocations": [
{
"address_1": "707 E Main St",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "NY",
"postal_code": "109402650",
"country_code": "US",
"telephone_number": "845-333-7575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEBEHN",
"first_name": "MARK",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-15",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "297445",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "HI",
"license": "MD-17664",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "297445",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "136320",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KS",
"license": "0440598",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1437444643",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mlebehn73884@direct.garnethealth.org",
"affiliation": "Y",
"affiliationName": "Garnet Health Doctors PC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "707 E Main St",
"city": "Middletown",
"state": "NY",
"country_code": "US",
"postal_code": "109402650",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.