Individual provider Active NPI

Kenneth M Levy, DO

  • Geriatric Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1457319550
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
0S007464L Issued in PA
Practice address
8400 Roosevelt Blvd
Ste 206
Philadelphia, PA 19152-2081
Phone
(215) 333-7560
Fax
(215) 333-7563
NPI assigned
May 1, 2006
Last updated
Sep 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 0S007464L PA Primary

Addresses

Primary practice location

8400 Roosevelt Blvd
Ste 206
Philadelphia, PA 19152-2081

Mailing address

8400 Roosevelt Blvd
Ste 206
Philadelphia, PA 19152-2081
Phone (215) 333-7560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040412001245 PA Practitioner - Psychiatry 3870587942 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CMC of PA, PCGroup PAC ID 7113393497, 9 clinicians

Practice addresses (Care Compare)

1021 Old York Rd
Suite 301
Abington, PA 19001-4626
Phone (215) 395-8266

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
78.42
Improvement activities
40
Cost
70.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0S007464LPAMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CMC of PA PC CurrentSince Dec 1, 2024 Accepting new patients
Temple Physician Inc. CurrentSince Feb 1, 2012 Accepting new patients
Temple Physicians Inc CurrentSince Feb 1, 2012 Accepting new patients
Joseph Dantonio MD PC CurrentSince Jun 1, 2017 Accepting new patients
Temple Physicians Inc Current Accepting new patients
Savita Singh,MD,PC Past Accepting new patients
CMC of PA PC Past Accepting new patients
Complete Mind Care of PA, LLC PastSince Dec 1, 2024 Accepting new patients

Locations

1021 Old York Rd
Ste 301
Abington, PA 19001
Phone (215) 254-6000

715 Twining Rd
Ste 120
Dresher, PA 19025

515 Pennsylvania Ave
Ste A
Fort Washington, PA 19034
Phone (215) 540-5408

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

721 Dresher Rd
Ste 1100
Horsham, PA 19044
Phone (215) 254-6000

615 W Main St
Lansdale, PA 19446
Phone (215) 453-1321

4641 E Roosevelt Blvd
Philadelphia, PA 19124
Phone (215) 831-4600

7600 Central Ave
Fl 2
Philadelphia, PA 19111
Phone (215) 725-7600

795 E Lancaster Ave
Ste 210
Villanova, PA 19085
Phone (215) 254-6000

795 E Lancaster Ave
Ste 250
Villanova, PA 19085
Phone (215) 254-6000

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1457319550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 ROOSEVELT BLVD",
            "address_2": "STE 206",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522081",
            "telephone_number": "215-333-7560",
            "fax_number": "215-333-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 ROOSEVELT BLVD",
            "address_2": "STE 206",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522081",
            "telephone_number": "215-333-7560",
            "fax_number": "215-333-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "KENNETH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "PA",
            "license": "0S007464L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.