Individual provider Active NPI

Jeffrey A Levison, M.D.

  • Internal Medicine Physician
  • Show Low, AZ
National Provider Identifier
1467405894
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20369 Issued in AZ
Practice address
4951 S White Mountain Rd BLDG a
Show Low, AZ 85901-7827
Phone
(928) 537-6700
Fax
(928) 532-2199
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DR.0054861 CO
Internal Medicine Physician 207R00000X 20369 AZ Primary

Addresses

Primary practice location

4951 S White Mountain Rd BLDG a
Show Low, AZ 85901-7827

Mailing address

4951 S White Mountain Rd BLDG a
Show Low, AZ 85901-7827
Phone (928) 537-6700

Other practice location 1

27B Talisman Dr Unit 3
Pagosa Springs, CO 81147-7914
Phone (970) 372-0456

Other identifiers 1

IdentifierTypeStateIssuer
128688MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060221000420 AZ Practitioner - Internal Medicine 4486660974 Reassigns benefits to 2 organizations
I20150223001702 CO Practitioner - Internal Medicine 4486660974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Arizona College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4951 S White Mountain Rd
BLDG a
Show Low, AZ 85901-7801
Phone (928) 537-6700

Hospital & facility affiliations

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 Medicine

State licenses

LicenseStateTypeSpecialty
20369AZMDInternal Medicine Physician
DR.0054861COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Technologies, LLC CurrentSince Jun 1, 2011 Accepting new patients
Summit Healthcare Medical Associates Internal Medicine Current Accepting new patients
The Pagosa Medical Group LLC CurrentSince Sep 1, 2021 Accepting new patients
North Country Healthcare, Inc. CurrentSince Feb 1, 2023 Accepting new patients
North Country Healthcare, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Summit Healthcare Medical Associates CurrentSince Sep 1, 2023 Accepting new patients
Summit Healthcare Medical Associates CurrentSince Sep 1, 2023 Accepting new patients
Summit Healthcare Association Current Accepting new patients
North Country Healthcare, Inc. Current Accepting new patients
RHG of Arizona, PC PastSince Dec 23, 2024 Accepting new patients
Summit Healthcare Association Past Accepting new patients
Center for Physical Medicine & Rehabilitation P C Past Accepting new patients
Mesa Urgent Care, LLC Past Accepting new patients
Med 97 LLC Past Accepting new patients

Locations

2920 N 4th St
Flagstaff, AZ 86004
Phone (928) 213-6100

5656 S Power Rd
Ste 126
Gilbert, AZ 85295

1855 N Stapley Dr
Mesa, AZ 85203
Phone (480) 545-0031

4951 S White Mountain Rd
Bldg A
Show Low, AZ 85901
Phone (928) 537-6700

4951 S White Mountain Rd
Show Low, AZ 85901
Phone (928) 532-5848

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

2650 E Show Low Lake Rd
Ste 1
Show Low, AZ 85901
Phone (928) 537-4300

620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700

27B Talisman Dr
Unit 3
Pagosa Springs, CO 81147
Phone (970) 372-0456

Interoperability endpoints

  • Direct secure messaging: jeffreylevison@shrmcshma.allscriptsdirect.net
  • Direct secure messaging: jeffrey.levison@66979158884356.direct.elationemr.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1467405894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 S WHITE MOUNTAIN RD BLDG A",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017827",
            "telephone_number": "928-537-6700",
            "fax_number": "928-532-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 S WHITE MOUNTAIN RD BLDG A",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017827",
            "telephone_number": "928-537-6700",
            "fax_number": "928-532-2199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27B Talisman Dr Unit 3",
            "address_purpose": "LOCATION",
            "city": "Pagosa Springs",
            "state": "CO",
            "postal_code": "811477914",
            "country_code": "US",
            "telephone_number": "970-372-0456",
            "fax_number": "970-507-3010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVISON",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0054861",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "20369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128688",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

Verify at the official NPI Registry.