Individual provider Active NPI

Andrew M Levin, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Philadelphia, PA
National Provider Identifier
1497014070
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
OS018098 Issued in PA
Practice address
4190 City Ave Ste 330
Philadelphia, PA 19131-1633
Phone
(215) 871-6425
Fax
(215) 871-6490
NPI assigned
May 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X OS018098 PA Primary

Addresses

Primary practice location

4190 City Ave Ste 330
Philadelphia, PA 19131-1633

Mailing address

4190 City Ave Ste 330
Philadelphia, PA 19131-1633
Phone (215) 871-6425

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
I20170823000963 PA Practitioner - Osteopathic Manipulative Medicine 1658503107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Philadelphia College of Osteopathic MedicineGroup PAC ID 0648179234, 30 clinicians

Practice addresses (Care Compare)

4190 City Ave
Suite 315
Philadelphia, PA 19131-1633
Phone (215) 871-6384

4190 City Line Ave
Philadelphia, PA 19131-1633

Merit-based Incentive Payment System (MIPS)

Final score
79.67 of 100Reported as group
Quality
69.85
Promoting interoperability
54
Improvement activities
40
Cost
75.17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Philadelphia College of Osteopathic Medicine Neuromusculoskeletal Medicine & Omm CurrentSince Aug 1, 2017 Accepting new patients
Mercy Management of Southeastern Pennsylvania PastSince Jan 19, 2020 Accepting new patients

Locations

4190 City Line Ave
Ste 315
Philadelphia, PA 19131
Phone (215) 871-6337

4190 City Line Ave
Ste 330
Philadelphia, PA 19131
Phone (215) 871-6337

4190 City Line Ave
Ste 320
Philadelphia, PA 19131
Phone (215) 871-1871

Interoperability endpoints

  • Direct secure messaging: andrew.levin@direct.pcom.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1497014070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 CITY AVE STE 330",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311633",
            "telephone_number": "215-871-6425",
            "fax_number": "215-871-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 CITY AVE STE 330",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311633",
            "telephone_number": "215-871-6425",
            "fax_number": "215-871-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "ANDREW",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "PA",
            "license": "OS018098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.