Individual provider Active NPI

Max Levitt, MD

  • Urology Physician
  • Fairbanks, AK
National Provider Identifier
1487499307
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
213701 Issued in AK
Practice address
1211 Cushman St
Fairbanks, AK 99701-4680
Phone
(907) 328-0989
Fax
(855) 259-0324
NPI assigned
Jul 1, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 213701 AK Primary

Addresses

Primary practice location

1211 Cushman St
Fairbanks, AK 99701-4680

Mailing address

104 Woodmont Blvd Ste 500
Nashville, TN 37205-2245
Phone (907) 328-0989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20240716001144 AK Practitioner - Urology 3375088255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Fairbanks UrologyGroup PAC ID 6608100425, 4 clinicians

Practice addresses (Care Compare)

1211 Cushman St
Fairbanks, AK 99701-4680
Phone (907) 452-1761

Hospital & facility affiliations

  • Fairbanks Memorial Hospital Hospital, Fairbanks, AK, CCN 020012
  • Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection50

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairbanks Urology Urology CurrentSince Jul 1, 2024 Accepting new patients

Locations

3851 Piper St
Ste U431
Anchorage, AK 99508
Phone (907) 215-6709

1211 Cushman St
Fairbanks, AK 99701
Phone (907) 328-0989

104 Woodmont Blvd
Ste 500
Nashville, TN 37205
Phone (615) 467-7400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFDCBD

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 2

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": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1487499307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WOODMONT BLVD STE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052245",
            "telephone_number": "907-328-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 CUSHMAN ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014680",
            "telephone_number": "907-328-0989",
            "fax_number": "855-259-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVITT",
        "first_name": "MAX",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AK",
            "license": "213701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.