Individual provider Active NPI

Alan Louis Levy, M.D.

  • Dermatology Physician
  • Memphis, TN
National Provider Identifier
1497978340
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
390200000X Issued in TN
Practice address
5575 Poplar Ave
Ste 708
Memphis, TN 38119-3856
Phone
(901) 682-0430
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 390200000X TN Primary

Addresses

Primary practice location

5575 Poplar Ave
Ste 708
Memphis, TN 38119-3856

Mailing address

5575 Poplar Ave
Ste 708
Memphis, TN 38119-3856
Phone (901) 682-0430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20090818000675 TN Practitioner - Dermatology 3678627171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Tennessee, HSC, College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Levy Dermatology, PCGroup PAC ID 9032263538, 15 clinicians

Practice addresses (Care Compare)

6254 Poplar Ave
Memphis, TN 38119-4713
Phone (901) 624-3333

Merit-based Incentive Payment System (MIPS)

Final score
74.77 of 100Reported as individual
Quality
33.56
Promoting interoperability
98
Improvement activities
40
Cost
84.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision213
Removal of tissue57
Removal of skin lesions566
Removal of skin cancer691
Removal of nail tissue1-10
Skin biopsy296

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
390200000XTNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Levy Dermatology, PC Dermatology CurrentSince Aug 18, 2009 Accepting new patients
Joe S Levy, M.D., P.C. Past Accepting new patients
Dr. Adam T Keres LLC. Past Accepting new patients

Locations

6254 Poplar Ave
Memphis, TN 38119
Phone (901) 624-3333

Interoperability endpoints

  • Direct secure messaging: alevy22467@mlh.direct-ci.com

Organizations & group practices 3

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235692800000",
    "number": "1497978340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 POPLAR AVE",
            "address_2": "STE 708",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193856",
            "telephone_number": "901-682-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 POPLAR AVE",
            "address_2": "STE 708",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193856",
            "telephone_number": "901-682-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "ALAN",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2009-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "390200000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.